Individual
SHANAH KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LC
Contact information
Practice address
122 MANOR AVE, COHOES, NY 12047-1605
(518) 201-2701
Mailing address
122 MANOR AVE, COHOES, NY 12047-1605
(518) 201-2701
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
588667
NY
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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