Individual
VICKI J CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC,RLC,LCCE
Contact information
Practice address
308 NE 54TH ST, OAK ISLAND, NC 28465-4905
(910) 201-4624
Mailing address
308 NE 54TH ST, OAK ISLAND, NC 28465-4905
(910) 201-4624
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
180070
NC
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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