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Individual

ANNE DOLEZAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, RN, IBCLC

Contact information

Practice address
58 CLIFTON COUNTRY RD STE 106, CLIFTON PARK, NY 12065-3846
(518) 344-6733
Mailing address
58 CLIFTON COUNTRY RD STE 106, CLIFTON PARK, NY 12065-3846
(518) 344-6733

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
645567
NY
174N00000X
Lactation Consultant (Non-RN)
L-313026
NY

Other

Enumeration date
02/06/2024
Last updated
02/06/2024
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