Individual
MRS. LORA LYNN BREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 PLANTERS TRL, BOGART, GA 30622-2076
(770) 733-7861
Mailing address
1110 PLANTERS TRL, BOGART, GA 30622-2076
(770) 733-7861
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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