Individual
SUSAN MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
320 LINCOLN AVE, AVON BY THE SEA, NJ 07717-1213
(732) 988-7720
Mailing address
320 LINCOLN AVE, AVON BY THE SEA, NJ 07717-1213
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-26883
NJ
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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