Individual
JESSICA LANG KOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, IBCLC
Contact information
Practice address
244 WOODLAND RD, AUBURNDALE, MA 02466-2707
(781) 489-8681
Mailing address
244 WOODLAND RD, AUBURNDALE, MA 02466-2707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
10953384
MA
Other
Enumeration date
01/24/2011
Last updated
02/28/2012
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