Individual
ELIZABETH GEORGEANNE RAIVO-LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3020 HARDING ST NE, ST ANTHONY, MN 55418-2466
(612) 703-9232
Mailing address
3020 HARDING ST NE, ST ANTHONY, MN 55418-2466
(612) 703-9232
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-143469
MN
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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