Individual
LAURA MARIE LEWELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3362 PARKLAND DR, WEST BLOOMFIELD, MI 48322-1828
(248) 425-0702
Mailing address
913 WHITE HOUSE DR, HIGHLAND, MI 48356-1665
(248) 431-2588
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
4704115816
MI
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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