Individual
DANIELLE LASHAY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(872) 204-3719
Mailing address
PO BOX 36, PRINCETON, LA 71067-0036
(318) 525-3333
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-312556
LA
Other
Enumeration date
02/21/2025
Last updated
02/22/2025
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