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Individual

LISA CHASSAGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
1304 MARQUIS CT, FALLSTON, MD 21047-2265
(410) 989-1014
Mailing address
1304 MARQUIS CT, FALLSTON, MD 21047-2265
(410) 989-1014

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R099592
MD

Other

Enumeration date
10/08/2012
Last updated
08/07/2014
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