Individual
LAUREL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
22095 COOK LN, MORRISON, CO 80465-2548
(720) 291-9115
Mailing address
22095 COOK LN, MORRISON, CO 80465-2548
(720) 291-9115
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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