Individual
LARA GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L-97275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-97275
IBCLC
OR
Enumeration date
07/17/2017
Last updated
07/21/2022
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