Organization
IGNITE LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLIE BERGREN RN BSN IBCLC (OWNER/IBCLC)
(402) 915-1559
Entity
Organization
Contact information
Practice address
780 N 1ST ST, SPRINGFIELD, NE 68059-4704
(402) 915-1559
Mailing address
780 N 1ST ST, SPRINGFIELD, NE 68059
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-66768
NE
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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