Individual
MRS. LAURA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLEC
Contact information
Practice address
6749 QUINELLA DR, LAS VEGAS, NV 89103-4357
(702) 321-6712
Mailing address
6749 QUINELLA DR, LAS VEGAS, NV 89103-4357
(702) 321-6712
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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