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Individual

LAURA J KEOGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
850 SW CRESTVIEW ST, PULLMAN, WA 99163-2042
(509) 334-5439
(509) 332-0731
Mailing address
850 SW CRESTVIEW ST, PULLMAN, WA 99163-2042
(509) 334-5439
(509) 332-0731

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10877310
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-22219
IBCLC
WA
Enumeration date
10/22/2014
Last updated
10/22/2014
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