Individual
LACY MARIE DUFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
1909 159TH TER, BASEHOR, KS 66007-8701
(816) 809-6375
Mailing address
1909 159TH TER, BASEHOR, KS 66007-8701
(816) 809-6375
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
14-128769-082
KS
163WL0100X
Lactation Consultant (Registered Nurse)
L-310975
KS
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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