Individual
LYNN R. UTRATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
6135 PARK SOUTH DR SUITE 510, CHARLOTTE, NC 28210
(704) 626-9123
Mailing address
10850 PROVIDENCE ROAD, 1109, CHARLOTTE, NC 28277-2684
(704) 626-9123
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-34706
NC
Other
Enumeration date
08/31/2021
Last updated
03/23/2022
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