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Organization

THE BREAST NURSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
K'LEE LYNAE KASPER BSN, RN, IBCLC (OWNER)
(208) 305-1732
Entity
Organization

Contact information

Practice address
1834 BROADVIEW DR, LEWISTON, ID 83501-3962
(208) 305-1732
Mailing address
1834 BROADVIEW DR, LEWISTON, ID 83501-3962
(208) 305-1732

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043057532
NPI
ID
Enumeration date
08/26/2024
Last updated
08/26/2024
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