Provider Demographics
NPI:1124201611
Name:VAUGHAN, JANET COPELAND (RD, CDE, IBCLC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:COPELAND
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:RD, CDE, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 E ALISAL ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-2602
Mailing Address - Country:US
Mailing Address - Phone:831-796-2866
Mailing Address - Fax:831-757-7076
Practice Address - Street 1:632 E ALISAL ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-2602
Practice Address - Country:US
Practice Address - Phone:831-796-2866
Practice Address - Fax:831-757-7076
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist