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NPI Code Detail

MEDICARE: BRIGITTE KATHLEEN NEUMAN MS, IBCLC

MEDICARE:   BRIGITTE KATHLEEN NEUMAN  MS, 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)L313612MI

General Provider Information

NPI Number : 1689439051
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGITTE KATHLEEN NEUMAN MS, IBCLC
Provider Business Mailing Address
First Line : 8959 RUCKER RD
Second Line :
City : GROSSE ILE
State : MI
Zip : 48138-1918
Country : US
Telephone Number : 734-341-8275
Fax Number :
Provider Business Practice Location Address
First Line : 1621 W CARROLL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-2501
Country : US
Telephone Number : 888-231-8443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2024
Last Update Date : 02/15/2024

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