Provider Demographics
NPI:1952738288
Name:CHOXI, THALLA-MARIE (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:THALLA-MARIE
Middle Name:
Last Name:CHOXI
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 1:1474 WRAGBY LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-6605
Mailing Address - Country:US
Mailing Address - Phone:609-346-9671
Mailing Address - Fax:
Practice Address - Street 1:1474 WRAGBY LN
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-6605
Practice Address - Country:US
Practice Address - Phone:609-346-9671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-316004174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty