Individual
MRS. VICKI LEE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
265 22 RD, WILCOX, NE 68982-3008
(308) 478-5532
(308) 478-5810
Mailing address
265 22 RD, WILCOX, NE 68982-3008
(308) 478-5532
(308) 478-5810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19412167
IBCLC (INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT)
VA
Enumeration date
10/05/2011
Last updated
10/05/2011
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