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Individual

LAURIE BRUTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4402
Mailing address
1215 1ST ST NE APT 10A, WASHINGTON, DC 20002-7947

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-163659
DC

Other

Enumeration date
10/19/2020
Last updated
10/19/2020
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