NPI 1801653605

McKenzie Bette Cornilsen, CLCSBD

Practitioner Lactation Consultant (Non-RN) Davenport, IA

Practice location

Address: 2010 E 38th St STE 201b, Davenport, IA 52807-1179
Phone: (184) 656-2200
Mailing address: PO Box 623, Buffalo, IA 52728-0623

Registered specialties (2)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence ALPP-330760 (IA)

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1801653605
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2024
Record last updated: 28 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.