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Individual
LAURA COULTER
Active
Individual
LAURA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM/APN, MS, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
041-291976
IL
367A00000X
Advanced Practice Midwife
Primary
209-003413
IL
Other
Enumeration date
02/23/2009
Last updated
05/11/2015
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