Individual
BROOKE PENNIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 MAIN ST, LAKEVILLE, MA 02347-1691
(774) 208-3414
Mailing address
113 MAIN ST, LAKEVILLE, MA 02347-1691
(774) 208-3414
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-301465
MA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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