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Individual

SYDNEY PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
777 DEADWOOD AVE, RAPID CITY, SD 57702-0379
(605) 416-1778
Mailing address
1329 EGLIN ST, STE 200 PMB 311, RAPID CITY, SD 57701

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
Primary
L-310202
374J00000X
Doula

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-310202
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
Enumeration date
04/30/2022
Last updated
05/05/2025
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