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Individual

TARA CZAPLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(208) 777-6455
Mailing address
935 N CIMMARON ST, POST FALLS, ID 83854-6047
(208) 518-8581

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-148668
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-148668
IBLCE
Enumeration date
08/23/2023
Last updated
08/23/2023
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