Individual
LAUREN FAYE OBERHOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7708 4TH ST NW, LOS RANCHOS, NM 87107-6510
(505) 924-2229
Mailing address
5812 GOLIAD ST NW, ALBUQUERQUE, NM 87107-5410
(505) 280-9254
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN-70078
NM
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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