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NPI Code Detail

MEDICARE: M. JANET COLSON IBCLC

MEDICARE: M. JANET COLSON 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
1174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1245524917
Entity Type Code : Individual
Provider Name (Legal Business Name) : M. JANET COLSON IBCLC
Provider Business Mailing Address
First Line : 3170 N CAMPUS DR
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-9301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 E SPRUCE ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5659
Country : US
Telephone Number : 620-272-2314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2011
Last Update Date : 05/30/2011

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