Individual
THAISA MARIA SIMPLICIO LEMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
49 IRVING PL APT 2, BROOKLYN, NY 11238-2508
(347) 766-4636
Mailing address
49 IRVING PL APT 2, BROOKLYN, NY 11238-2508
(347) 766-4636
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-252818
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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