Individual
LISA KAY MAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
24894 RAVINE CT # 2204, FARMINGTON HILLS, MI 48335-2432
(407) 791-3455
Mailing address
24894 RAVINE CT # 2204, FARMINGTON HILLS, MI 48335-2432
(407) 791-3455
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-145779
FL
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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