Individual
MADISON MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, IBCLC
Contact information
Practice address
1258 LEFORGE RD APT K4, YPSILANTI, MI 48198-3525
(336) 287-3726
Mailing address
1258 LEFORGE RD APT K4, YPSILANTI, MI 48198-3525
(336) 287-3726
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303877
MI
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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