Individual
LAURA STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
726 S MISSOURI AVE, LAKELAND, FL 33815-4738
(863) 448-2224
Mailing address
182 HERITAGE PARK LN, MULBERRY, FL 33860-9447
(863) 448-2224
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9460306
FL
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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