Individual
GEMMA REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LCCE, IBCLC
Contact information
Practice address
52026 CLOVERLEAF DR E, SOUTH BEND, IN 46637-6028
(574) 274-4236
Mailing address
1 PO SECURITY BUILDING UNIT 1052, NOTRE DAME, IN 46556-4704
(574) 316-0313
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
48393
IN
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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