Individual
ELIZABETH SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4558 PLEASANT GARDEN RD, PLEASANT GARDEN, NC 27313-9533
(336) 388-9291
Mailing address
405 FORESTWOOD DR, ARCHDALE, NC 27263-2927
(336) 870-4906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A19751
NC
174N00000X
Lactation Consultant (Non-RN)
L-56484
—
Other
Enumeration date
05/14/2015
Last updated
03/28/2024
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