Individual
LIZETH BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3090 PENNINGTON RD, LIVE OAK, CA 95953-2263
(530) 923-1613
Mailing address
3090 PENNINGTON RD, LIVE OAK, CA 95953-2263
(530) 923-1613
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-48727
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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