Provider Demographics
NPI:1083960983
Name:HAMLIN, MONA LIZA (BSN, RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:MONA LIZA
Middle Name:
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 COX RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3025
Mailing Address - Country:US
Mailing Address - Phone:302-235-8277
Mailing Address - Fax:302-235-8277
Practice Address - Street 1:306 COX RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3025
Practice Address - Country:US
Practice Address - Phone:302-235-8277
Practice Address - Fax:302-235-8277
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-28
Last Update Date:2012-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0035115163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant