Individual provider · Type 1 NPI

Therese Marie Hazen, RN, IBCLC

Lactation Consultant (Registered Nurse) · Willoughby, OH

NPI number 1114134970 Active

Practice location

4799 Maple St
Willoughby, OH 44094-5732

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100XRN 222531 (OH)

Lactation Consultant (Registered Nurse): Definition to come...

About NPI 1114134970

Therese Marie Hazen, RN, IBCLC's National Provider Identifier is 1114134970, issued on May 17, 2007. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Willoughby, OH. The record was last updated on Jun 22, 2011.