Individual
STEPHANIE ANNE LORENZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
26305 N 1325TH ST, CHRISMAN, IL 61924-7075
(805) 558-0332
Mailing address
26305 N 1325TH ST, CHRISMAN, IL 61924-7075
(805) 558-0332
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-151809
IL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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