Individual
MS. TRACY L TORGERSON
Active
Individual
MS. TRACY L TORGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10421502
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10421502
INTL LC CERT. NUMBER
—
01
—
55380867
STATE TAX ID NUMBER
IL
Enumeration date
05/14/2007
Last updated
05/26/2011
Update your record
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