Organization
MAGNOLIA LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MARIA STARNES RN, BSN, IBCLC (SOLE MEMBER)
(417) 299-2675
Entity
Organization
Contact information
Practice address
1926 N TANGLEWOOD LN, NIXA, MO 65714-9459
(417) 299-2675
Mailing address
1926 N TANGLEWOOD LN, NIXA, MO 65714-9459
(417) 299-2675
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
01/04/2022
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