Individual
LEAH A JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
504 5TH AVE, IRONTON, MN 56455-1001
(218) 545-0024
Mailing address
PO BOX 238, IRONTON, MN 56455-0238
(218) 545-0024
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11280975
MN
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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