Individual
DONNALYNN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1701 SPRING ST, A, JEFFERSONVILLE, IN 47130-2930
(812) 282-1376
Mailing address
1701 SPRING ST, A, JEFFERSONVILLE, IN 47130-2930
(812) 282-1376
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-18369
IN
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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