Individual
DR. KATRINA LEANN FULLER
Active
Individual
DR. KATRINA LEANN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, LCP
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
NM
174N00000X
Lactation Consultant (Non-RN)
Primary
57759
NM
374J00000X
Doula
—
NM
Other
Enumeration date
10/19/2010
Last updated
09/26/2019
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