Individual
STEPHANIE LEIBUNDGUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
266 AMBLING CIR, COLUMBIA, SC 29210
(815) 325-5691
Mailing address
256 DUBLIN LOOP, GROVETOWN, GA 30813-0540
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-305812
GA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN302651
GA
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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