Individual
KIM LAINA PETERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, IBCLC
Contact information
Practice address
2745 EVERGREEN CIR, EMMAUS, PA 18049-1206
(860) 307-0891
Mailing address
2745 EVERGREEN CIR, EMMAUS, PA 18049-1206
(860) 307-0891
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN712986
PA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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