Organization
THE LACTATION CLINIC OF SOUTHEAST WISCONSIN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN LEE DC, CLC (DIRECTOR/PRESIDENT)
(414) 628-7659
Entity
Organization
Contact information
Practice address
530 N 108TH PL STE 100, WAUWATOSA, WI 53226-4253
(414) 628-7659
Mailing address
530 N 108TH PL STE 100, WAUWATOSA, WI 53226-4253
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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