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Individual

MRS. MELISSA ANN LIEBHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
3948 SUMMERVIEW DR, SAINT CHARLES, MO 63304-2661
(314) 605-4902
Mailing address
3948 SUMMERVIEW DR, SAINT CHARLES, MO 63304-2661
(314) 605-4902

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2001021203
MO
163WL0100X
Lactation Consultant (Registered Nurse)
L-60385
MO

Other

Enumeration date
12/07/2015
Last updated
12/07/2015
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