Individual
LARA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
9 BENT OAK LN, TALLASSEE, AL 36078-1109
(334) 399-6315
Mailing address
9 BENT OAK LN, TALLASSEE, AL 36078-1109
(334) 399-6315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-163337
AL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-311386
AL
Other
Enumeration date
03/04/2024
Last updated
12/04/2025
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