Provider Demographics
NPI:1225464712
Name:HONER, PAULA V (IBCLC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:V
Last Name:HONER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 BRAMBLETON AVE
Mailing Address - Street 2:3142 BRAMBLETON AV SW
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3727
Mailing Address - Country:US
Mailing Address - Phone:540-774-7202
Mailing Address - Fax:540-776-9059
Practice Address - Street 1:3142 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3727
Practice Address - Country:US
Practice Address - Phone:540-774-7202
Practice Address - Fax:540-776-9059
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN