Individual
LORA LONGINO ELSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
378 BLACK SPRINGS RD NE, MILLEDGEVILLE, GA 31061-9005
(478) 234-8012
Mailing address
378 BLACK SPRINGS RD NE, MILLEDGEVILLE, GA 31061-9005
(478) 234-8012
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN212071
GA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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