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Individual

VICTORIA LEE GOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
1925 TULIP LN, MUNSTER, IN 46321-3241
(219) 359-0803
Mailing address
4924 CARDINAL CT, SCHERERVILLE, IN 46375-3344
(219) 359-0803

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
041237171
IL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28160367A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041237171
ILLINOIS DEPARTMENT OF REGULATION NURSING BOARD
IL
01
28160367A
INDIANA DEPARTMENT OF REGULATION NURSING BOARD
IN
01
L-18631
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
Enumeration date
08/03/2020
Last updated
08/03/2020
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