Individual
ANNE LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
500 OLD BREMEN RD, CARROLLTON, GA 30117-5216
(470) 270-9520
Mailing address
500 OLD BREMEN RD, CARROLLTON, GA 30117-5216
(470) 270-9520
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
LC000020
GA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN 174475
GA
Other
Enumeration date
01/04/2016
Last updated
02/25/2018
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