Individual
LAUREN LYELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1249 E TONTO LN, PHOENIX, AZ 85024-1770
(602) 435-3877
Mailing address
1249 E TONTO LN, PHOENIX, AZ 85024-1770
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN197652
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN197652
RN LICENSE NUMBER
AZ
Enumeration date
10/30/2020
Last updated
10/30/2020
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