Individual
MS. CARLA BETH ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
23919 LINDALE RANCH RD, POTEAU, OK 74953-9067
(918) 413-3545
Mailing address
23919 LINDALE RANCH RD, POTEAU, OK 74953-9067
(918) 413-3545
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11011770
OK
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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