Individual
JOAN ELLEN LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, LCCE,
Contact information
Practice address
10 PONDEROSA PARK DR, WAKE FOREST, NC 27587-6787
(919) 556-9674
Mailing address
10 PONDEROSA PARK DR, WAKE FOREST, NC 27587-6787
(919) 556-9674
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
142683
NC
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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