Individual
MRS. MADELYN LEE BRUNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC, RLC
Contact information
Practice address
3539 230TH ST, WOODBINE, IA 51579-5064
(712) 592-9814
Mailing address
3539 230TH ST, WOODBINE, IA 51579-5064
(712) 592-9814
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
102605
IA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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