Individual
DEBRA ANN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(888) 510-0059
(708) 406-1629
Mailing address
10950 SAN JOSE BLVD STE 60, PMB 263, JACKSONVILLE, FL 32223-6671
(904) 509-7013
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-109466
FL
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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