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NPI Code Detail

MEDICARE: SARAH STRUEBIG IBCLC

MEDICARE: SARAH STRUEBIG IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)201400083RNOR

General Provider Information

NPI Number : 1124848924
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH STRUEBIG IBCLC
Provider Business Mailing Address
First Line : 750 TWIN CREEKS XING APT A
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-8656
Country : US
Telephone Number : 541-778-6321
Fax Number :
Provider Business Practice Location Address
First Line : 750 TWIN CREEKS XING APT A
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-8656
Country : US
Telephone Number : 541-778-6321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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