Individual
MRS. JODEE LAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, MS, NUTR
Contact information
Practice address
1624 SHANE DR, IMPERIAL, MO 63052-4030
(636) 461-0001
Mailing address
1624 SHANE DR, IMPERIAL, MO 63052-4030
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-22310
MO
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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