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Individual provider Active NPI Lactation Consultant (Registered Nurse) · Dugger, IN

NPI 1104776707 · NPPES record last updated Feb 2, 2026

Key facts

NPI
1104776707
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
L-165179 (IN)
Practice address
15754 W 275 N
Dugger, IN 47848-7007
Phone
(812) 798-4401
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L-165179INMDLactation Consultant (Registered Nurse)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-165179 IN Yes

Addresses

Primary practice location

15754 W 275 N
Dugger, IN 47848-7007

Mailing address

15754 W 275 N
Dugger, IN 47848-7007
Phone (812) 798-4401

Other providers in Dugger, IN

All providers in Dugger, IN · Lactation Consultant (Registered Nurse) in Indiana

Sources for this page

Verify at the official NPI Registry.