Individual
ELLEN PAVLACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2082 BUFFALO ST., APT 2, STANLEY, NY 14561
(315) 217-1117
Mailing address
PO BOX 136, SENECA CASTLE, NY 14547-0136
(315) 877-6327
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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