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NPI Code Detail

MEDICARE: MRS. JESSICA LINDSAY DELAUGHTER RN, IBCLC

MEDICARE: MRS. JESSICA LINDSAY DELAUGHTER RN, 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-41766CO
2163W00000XRegistered NurseRN-187123CO

General Provider Information

NPI Number : 1699924217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA LINDSAY DELAUGHTER RN, IBCLC
Provider Business Mailing Address
First Line : 2464 S CARR CT
Second Line :
City : LAKEWOOD
State : CO
Zip : 80227-3104
Country : US
Telephone Number : 303-882-8193
Fax Number :
Provider Business Practice Location Address
First Line : 2464 S CARR CT
Second Line :
City : LAKEWOOD
State : CO
Zip : 80227-3104
Country : US
Telephone Number : 303-882-8193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 03/26/2026

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