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Individual

MS. DIANE S MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPH, IBCLC, RLC

Contact information

Practice address
5233 LAUREL AVE, BOULDER, CO 80303-2847
(303) 587-3326
Mailing address
5233 LAUREL AVE, BOULDER, CO 80303-2847
(303) 587-3326

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
108-66501
CO

Other

Enumeration date
10/14/2009
Last updated
09/04/2012
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