Individual
JAN CODERKO MARCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC RL
Contact information
Practice address
202 POPLAR ST., EFFINGHAM, IL 62401
(217) 246-3498
Mailing address
202 POPLAR ST., EFFINGHAM, IL 62401
(217) 246-3498
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041-164820
IL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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