Individual
MRS. POLLY ANN THOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
231 AURORA ST, LANCASTER, NY 14086-2931
(716) 681-8100
Mailing address
231 AURORA ST, LANCASTER, NY 14086-2931
(716) 681-8100
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
10320587
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L-36606
NY
Other
Enumeration date
09/17/2012
Last updated
07/02/2014
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