Individual
ELISABETH A GOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
11804 W SHERIAC ST, WICHITA, KS 67209-6720
(316) 202-8264
Mailing address
11804 W SHERIAC ST, WICHITA, KS 67209-2915
(316) 202-8264
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
111767
KS
Other
Enumeration date
05/26/2019
Last updated
10/03/2022
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