Individual
MRS. HEATHER LAURIE LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
(217) 531-4289
(217) 531-4297
Mailing address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
(217) 531-4289
(217) 531-4297
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11041076
IL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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