Individual
ANNA FAUCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1825 E. REPUBLIC RD., APT. 6101, SPRINGFIELD, MO 65804
(417) 234-3945
Mailing address
1825 E. REPUBLIC RD., APT. 6101, SPRINGFIELD, MO 65804
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-300804
MO
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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