Individual
CHRISTINA HAWTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, IBCLC
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(301) 633-1573
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L303274
WI
176B00000X
Midwife
20100020
WI
Other
Enumeration date
11/02/2021
Last updated
08/25/2022
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