Individual
LAURA MICHELLE VALENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, IBCLC
Contact information
Practice address
3100 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(773) 663-6622
Mailing address
434 MELVILLE AVE, SAINT LOUIS, MO 63130-4602
(773) 663-6622
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-83469
MO
Other
Enumeration date
10/10/2012
Last updated
04/27/2018
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