Individual
LAURA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
130 SKYLINE DR, SOUTHINGTON, CT 06489-3317
(860) 620-7087
Mailing address
130 SKYLINE DR, SOUTHINGTON, CT 06489-3317
(860) 620-7087
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-35395
CT
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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