Individual
KRISTIN DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3774 BAYLEY DR, SUITE A, LAFAYETTE, IN 47905-8651
(765) 807-8180
(765) 807-8181
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
37747
IN
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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