Individual provider · Type 1 NPI
Jaclyn Haak, IBCLC
Lactation Consultant (Registered Nurse) · Fargo, ND
NPI number
1174067359
Active
Practice location
801 Broadway N, Routing #0110
Fargo, ND 58102-3641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | R31313 (ND) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1174067359
Jaclyn Haak, IBCLC's National Provider Identifier is 1174067359, issued on Dec 7, 2016. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Fargo, ND. The record was last updated on Dec 7, 2016.