Individual
ANNA COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
492 SE WYERS ST, WHITE SALMON, WA 98672
(253) 278-4713
Mailing address
PO BOX 2062, WHITE SALMON, WA 98672-2062
(253) 278-4713
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10207619
OR
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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