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NPI Profile for COLLEEN M PROROK in BROOKEVILLE, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lactation Consultant |
163WL0100X |
| NPI # | 1548405483 |
|
| Status | Active | |
| Credentials | RN, MSN, IBCLC | |
| Entity | Individual | |
| Enumeration date | 12/05/2008 | |
| Last updated | 12/05/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COLLEEN M PROROK
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COLLEEN M PROROK, RN, MSN, IBCLC