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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEAH NYDAM, IBCLC

Active

LEAH NYDAM, IBCLC is a Lactation Consultant Nurse healthcare provider located in JACKSON, Wyoming. NPI 1033991815 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · JACKSON, WY

Registration Details

NPI Number
1033991815
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2023 (2.784541759127 yrs)
Last Updated
Oct 17, 2023
License
L-311500 (WY)

Practice Information

Address
625 E BROADWAY AVE
JACKSON, WY, 830018642
Browse WY providers · Browse ZIP 83001
Phone
3077397572
Primary Specialty
Lactation Consultant Nurse
163WL0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.