Individual provider · Type 1 NPI
Adria Cannon, B.S., I.B.C.L.C
Specialist · Verona, WI
NPI number
1124226527
Active
Practice location
120 Paoli St
Verona, WI 53593-1323
Mailing address
4914 Tokay Blvd
Madison, WI 53711-1227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Verona
About NPI 1124226527
Adria Cannon, B.S., I.B.C.L.C's National Provider Identifier is 1124226527, issued on Jul 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Verona, WI. The record was last updated on Jul 8, 2007.