Individual
LISA MEI VEKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1335
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11263147
MN
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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