Individual
JESSICA LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 BROOKSHIRE CIR, MELBOURNE, FL 32904-6681
(321) 480-4647
Mailing address
2251 BROOKSHIRE CIR, MELBOURNE, FL 32904-6681
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
07/27/2012
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