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1669038469 NPI number — ALISSA MICHELLE OULMAN-KIRKPATRICK IBCLC

NPI Number: 1669038469
Health Care Provider/Practitioner: ALISSA MICHELLE OULMAN-KIRKPATRICK IBCLC

Information about “1669038469” NPI (ALISSA MICHELLE OULMAN-KIRKPATRICK IBCLC) exists in 1669038469 in HTML format HTML  |  1669038469 in plain Text format TXT  |  1669038469 in PDF (Portable Document Format) PDF  |  1669038469 in an XML format XML  formats.

NPI Number : 1669038469 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669038469",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OULMAN-KIRKPATRICK",
    "FirstName": "ALISSA",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "IBCLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "286 M ST STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRESCENT CITY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95531-4115",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-464-7293",
    "MailingAddressFaxNumber": "707-464-6278",
    "FirstLinePracticeLocationAddress": "286 M ST STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CRESCENT CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95531-4115",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-464-7293",
    "PracticeLocationAddressFaxNumber": "707-464-6278",
    "EnumerationDate": "05/16/2019",
    "LastUpdateDate": "05/16/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174N00000X",
        "TaxonomyName": "Lactation Consultant (Non-RN)",
        "LicenseNumber": "L-95367",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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