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Individual

LINDSAY GUSTAFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
9800 W 99TH PL, OVERLAND PARK, KS 66212-5301
(913) 777-8174
Mailing address
9800 W 99TH PL, OVERLAND PARK, KS 66212-5301

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-157283
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14-134412-061
RN LICENSE
KS
01
L-157283
IBCLC LICENSE
KS
Enumeration date
07/29/2020
Last updated
07/29/2020
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