Individual
KIMBERLY OROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD DONA, CLC
Contact information
Practice address
67 LAKESIDE AVE, HASKELL, NJ 07420-1419
(201) 406-1400
Mailing address
67 LAKESIDE AVE, HASKELL, NJ 07420-1419
(201) 406-1400
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-80427
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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