SearchCalifornia163WL0100X

Lacie Vidovich, RN, IBCLC

NPI 1295486694 · on the registry since 2022

Practice

Address
15770 Miss Ellie Ln
Lakeside, CA 92040
Phone
(619) 592-6680

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California