Individual
ASA LADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, CD(DONA)
Contact information
Practice address
3524 E CALLE DEL PRADO, TUCSON, AZ 85716-5021
(520) 490-4552
Mailing address
3524 E CALLE DEL PRADO, TUCSON, AZ 85716-5021
(520) 490-4552
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-23873
AZ
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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