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NPI Code Detail

MEDICARE: REBECCA ANN FRANZEN

MEDICARE: REBECCA ANN FRANZEN
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)240805
2174N00000XLactation Consultant (Non-RN)
3174N00000XLactation Consultant (Non-RN)ALPP-240805MA

General Provider Information

NPI Number : 1972076545
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN FRANZEN
Provider Business Mailing Address
First Line : 619 KENNEDY ST
Second Line :
City : CUBA CITY
State : WI
Zip : 53807-1456
Country : US
Telephone Number : 608-330-3399
Fax Number :
Provider Business Practice Location Address
First Line : 3375 LAKE RIDGE DR
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7864
Country : US
Telephone Number : 563-207-8932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 01/15/2019

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Directions to “ REBECCA ANN FRANZEN ” Practice Location

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