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General NPI Number Information
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NPI Number | 1467166835
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Entity Type | Individual
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Provider Name | LACI JONES RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1124 8TH ST N
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City | MOORHEAD
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State | MN
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Zip | 56560-1504
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Country | US
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Telephone | 605-216-8257
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 8TH ST N
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City | MOORHEAD
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State | MN
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Zip | 56560-1504
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Country | US
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Telephone | 605-216-8257
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-303225
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 2392305
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License Number State | MN
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