Individual
MARA IRENE LUBIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, IBCLC
Contact information
Practice address
4813 N HIGHWAY 14, GREER, SC 29651-4740
(912) 604-1938
Mailing address
4813 N HIGHWAY 14, GREER, SC 29651-4740
(912) 604-1938
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-86497
SC
Other
Enumeration date
11/09/2015
Last updated
11/15/2024
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