Individual
LORI JEAN THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.B.C.L.C, RN
Contact information
Practice address
3268 HILLCREST RD, APARTMENT 5, DUBUQUE, IA 52001-3939
(563) 213-3731
Mailing address
3268 HILLCREST RD, APARTMENT 5, DUBUQUE, IA 52001-3939
(563) 213-3731
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
142177
IA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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