Individual
MRS. MARY LAURA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BA, RN, IBCLC
Contact information
Practice address
5025 VISTA DEL SOL PT, COLORADO SPRINGS, CO 80919-8007
(717) 377-2568
Mailing address
5025 VISTA DEL SOL PT, COLORADO SPRINGS, CO 80919-8007
(717) 377-2568
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1653683
CO
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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