Individual
LISA THUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 VALLEY VIEW DR, COLLEGEVILLE, PA 19426-4412
(610) 639-1879
Mailing address
28 VALLEY VIEW DR, COLLEGEVILLE, PA 19426-4412
(610) 639-1879
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-313988
PA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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