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NPI Code Detail

MEDICARE: SHARON CUTIN-BOTTOMLEY RN, IBCLC

MEDICARE: SHARON CUTIN-BOTTOMLEY RN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)L-56587CA

General Provider Information

NPI Number : 1316339724
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON CUTIN-BOTTOMLEY RN, IBCLC
Provider Business Mailing Address
First Line : 6654 BLEWETT AVE
Second Line :
City : LAKE BALBOA
State : CA
Zip : 91406-6010
Country : US
Telephone Number : 818-388-1299
Fax Number :
Provider Business Practice Location Address
First Line : 6654 BLEWETT AVE
Second Line :
City : LAKE BALBOA
State : CA
Zip : 91406-6010
Country : US
Telephone Number : 818-388-1299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2015
Last Update Date : 02/22/2015

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