Individual provider · Type 1 NPI

Stephanie Leibundguth

Lactation Consultant (Registered Nurse) · Columbia, SC

NPI number 1619611670 Active

Practice location

266 Ambling Cir
Columbia, SC 29210

Mailing address

256 Dublin Loop
Grovetown, GA 30813-0540

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) 163WL0100XL-305812 (GA)
Lactation Consultant (Registered Nurse) Primary 163WL0100XRN302651 (GA)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1619611670

Stephanie Leibundguth's National Provider Identifier is 1619611670, issued on Apr 26, 2022. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Columbia, SC. The record was last updated on Apr 26, 2022.