Individual
SARAH CATHERINE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
350 EVERGREEN RD, LOUISVILLE, KY 40243-1010
(502) 209-9178
Mailing address
350 EVERGREEN RD, LOUISVILLE, KY 40243-1010
(502) 209-9178
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1142565
KY
174N00000X
Lactation Consultant (Non-RN)
L-318613
IN
Other
Enumeration date
07/11/2025
Last updated
01/15/2026
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