Individual
MRS. LARA L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
2406 CRYSTAL DR, PAPILLION, NE 68046
(402) 592-9164
Mailing address
2406 CRYSTAL DR, PAPILLION, NE 68046
(402) 592-9164
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
56583
NE
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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