Individual
LESLIE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
LC000210
GA
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
Other
Enumeration date
08/17/2021
Last updated
02/02/2022
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