Individual
ELIZABETH CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
67 W MAIN ST, MACEDON, NY 14502-8988
(315) 283-0748
Mailing address
67 W MAIN ST, MACEDON, NY 14502-8988
(315) 283-0748
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
657622
NY
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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