Individual
MRS. STEPHANIE JEAN PRUCHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, IBCLC
Contact information
Practice address
120 PARK LANE RD, SUITE A101, NEW MILFORD, CT 06776-2444
(203) 417-1693
Mailing address
21 PICKETT DISTRICT RD, NEW MILFORD, CT 06776-4412
(203) 417-1693
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-60874
CT
Other
Enumeration date
11/07/2014
Last updated
11/19/2014
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