Individual
LEANE VERONICA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
24236A HWY 49 SOUTH, RICHFIELD, NC 28137
(704) 787-0886
Mailing address
24236A HWY 49 SOUTH, RICHFIELD, NC 28137
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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