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DIANA NICHOLE LAURENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN IBCLC

Contact information

Practice address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-4300
Mailing address
712 LAZY ST, TOOL, TX 75143-1576
(903) 603-8358

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
754141
TX
163WL0100X
Lactation Consultant (Registered Nurse)
L-149075
TX

Other

Enumeration date
07/02/2020
Last updated
07/02/2020
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