Individual
LEA TIARE MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN-71425
HI
367A00000X
Advanced Practice Midwife
APRN-1439
HI
367A00000X
Advanced Practice Midwife
Primary
CNM-551
MN
Other
Enumeration date
10/04/2012
Last updated
03/25/2025
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