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Individual

TRACY STADTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
503 LAMBETH PL, NEWARK, DE 19711-3007
(302) 690-0059
Mailing address
503 LAMBETH PL, NEWARK, DE 19711-3007
(302) 690-0059

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L10016417
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19714303
LACTATION CONSULTANT-RN
DE
01
1996105991
BREASTFEEDING AND MORE, INC.
DE
01
L10016417
REGISTERED NURSE
DE
Enumeration date
09/09/2016
Last updated
09/09/2016
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