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NPI Code Detail

MEDICARE: SUZANNA KNOTTS BSN, IBCLC

MEDICARE:   SUZANNA  KNOTTS  BSN, 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)L-308187DE

General Provider Information

NPI Number : 1396519427
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNA KNOTTS BSN, IBCLC
Provider Business Mailing Address
First Line : 1285 TUXWARD RD
Second Line :
City : HARTLY
State : DE
Zip : 19953-1922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 E CAMDEN WYOMING AVE
Second Line :
City : CAMDEN
State : DE
Zip : 19934-1303
Country : US
Telephone Number : 302-550-9802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2023
Last Update Date : 11/09/2023

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Directions to “ SUZANNA KNOTTS BSN, IBCLC” Practice Location

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