Individual
REBECCA LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
2435 KIMBERLY RD STE 10N, BETTENDORF, IA 52722-3572
(309) 737-1773
Mailing address
2435 KIMBERLY RD STE 10N, BETTENDORF, IA 52722-3572
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
127539
IA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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