Individual
MRS. MEGAN A MIGNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN, IBCLC, CLC
Contact information
Practice address
2345 CHARLESTON DR., STATE COLLEGE, PA 16801
(814) 933-9655
Mailing address
2345 CHARLESTON DR., STATE COLLEGE, PA 16801
(814) 933-9655
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
149833
PA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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