Individual
KAREN SUE VANDERLUGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., IBCLC
Contact information
Practice address
1441 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1370
(269) 381-1234
Mailing address
5274 DRIFTWOOD AVE, KALAMAZOO, MI 49009-1222
(269) 372-8384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704155712
MI
163WL0100X
Lactation Consultant (Registered Nurse)
10943727
VA
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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