Individual
TRACY LYNN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLC
Contact information
Practice address
1122 EDGEWOOD DR, FESTUS, MO 63028-3400
(314) 606-0717
Mailing address
1122 EDGEWOOD DR, FESTUS, MO 63028-3400
(314) 606-0717
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-231171
MO
174N00000X
Lactation Consultant (Non-RN)
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Other
Enumeration date
01/05/2017
Last updated
03/19/2021
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