Individual
LAURA AVERY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
635 GRANT ST SE, ATLANTA, GA 30312-3146
(404) 406-6436
Mailing address
635 GRANT ST SE, ATLANTA, GA 30312-3146
(404) 406-6436
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000029
GA
Other
Enumeration date
02/11/2018
Last updated
01/01/2020
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