Individual
SHANNON GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
565 S LOGAN ST, DENVER, CO 80209-4107
(720) 642-6455
Mailing address
565 S LOGAN ST, DENVER, CO 80209-4107
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-157122
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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