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Lara L Anderson, RN IBCLC

Registered Nurse, Lactation Consultant in Papillion, NE. Individual provider (NPI-1).

NPI number1366791105
StatusActive
Last updated in NPPESSep 7, 2012

Details

NPI
1366791105
Entity type
Individual (NPI-1)
Name
Mrs. Lara L Anderson
Credential
RN IBCLC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 7, 2012
Last updated
Sep 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WL0100X Registered Nurse, Lactation Consultant56583NEYes

Practice location

2406 Crystal Dr
Papillion, NE 68046

Phone 402-592-9164

Mailing address

2406 Crystal Dr
Papillion, NE 68046

Phone 402-592-9164

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