Individual provider · Type 1 NPI
Mary Koontz, RN, IBCLC
Lactation Consultant (Registered Nurse) · Lynchburg, VA
NPI number
1407607146
Active
Practice location
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Mailing address
39 Mosby Ct
Rustburg, VA 24588-4614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 0001281123 (VA) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1407607146
Mary Koontz, RN, IBCLC's National Provider Identifier is 1407607146, issued on Mar 29, 2024. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Lynchburg, VA. The record was last updated on Mar 29, 2024.