Individual
HOLLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7811 LIGHT FIGHTER DR APT C, COLORADO SPRINGS, CO 80902-4644
(530) 219-1685
Mailing address
7811 LIGHT FIGHTER DR APT C, COLORADO SPRINGS, CO 80902-4644
(530) 219-1685
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-157738
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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