Individual
LOIS MARLOW WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6324 FAIRVIEW RD, CHARLOTTE, NC 28210-3271
(980) 302-8835
Mailing address
6324 FAIRVIEW RD STE 435, CHARLOTTE, NC 28210-3373
(980) 302-8835
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-35881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-35881
IBCLC
—
Enumeration date
08/03/2022
Last updated
08/03/2022
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