Organization
LE LAIT
Active
Organization
LE LAIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEGRA GASSERT-DEMAN IBCLC (PROVIDER)
(360) 961-6728
Entity
Organization
Contact information
Practice address
6748 ADMIRAL DR, MIDLAND, GA 31820-4169
(762) 261-0572
Mailing address
6748 ADMIRAL DR, MIDLAND, GA 31820-4169
(360) 961-6728
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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