Individual
SHANNON MARIE LILIENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
327 CHARLES RD, MECHANICSBURG, PA 17050-3006
(717) 712-6822
Mailing address
327 CHARLES RD, MECHANICSBURG, PA 17050-3006
(717) 712-6822
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10421137
PA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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