Individual
JEAN RACQUEL KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
300 W 80TH PL STE A, MERRILLVILLE, IN 46410-5476
(219) 232-6522
Mailing address
7704 EIDER AVE, HOBART, IN 46342-6871
(219) 805-8049
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28146799A
IN
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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