Provider Demographics
NPI:1689978124
Name:OWEN, AMY MARGARET (MA, IBCLC, CLD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MARGARET
Last Name:OWEN
Suffix:
Gender:F
Credentials:MA, IBCLC, CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3542 THORSON CT
Mailing Address - Street 2:UNIT C
Mailing Address - City:FORT GEORGE G MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755-1211
Mailing Address - Country:US
Mailing Address - Phone:610-960-0968
Mailing Address - Fax:
Practice Address - Street 1:3542 THORSON CT
Practice Address - Street 2:UNIT C
Practice Address - City:FORT GEORGE G MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755-1211
Practice Address - Country:US
Practice Address - Phone:610-960-0968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-24
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN