Individual
MRS. KRISTINA LEIGHANN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 395-5230
Mailing address
41554 TUCKER RD, TECUMSEH, OK 74873-7458
(405) 788-9423
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-301316
OK
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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