Individual
MS. PAULA R HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
503 N. ELIDA ST., WINNEBAGO, IL 61088
(815) 218-1623
Mailing address
2900 CLARK DR., BELVIDERE, IL 61008
(815) 218-1623
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041164129
IL
Other
Enumeration date
12/12/2018
Last updated
12/12/2018
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