Female

Michele A. Kruckman RN, CLC

Lactation Consultant (Registered Nurse) in Madison, WI(View on Map)

Full Name

Michele A Kruckman RN, CLC

NPI Number

1609104959

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/25/2009

Specialties

(Taxonomies)

Code

163WL0100X
163W00000X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin
Wisconsin

License Number

207511
168199-030

Contact
Information

Purpose

Mailing
Location

Address

N1639 FJORD CIR
4410 REGENT ST

City

Prairie Du Sac
Madison

State

WI
WI

Postal Code

53578-9551
53705-4901

Country

US
US

Telephone Number

(608) 576-7894
(608) 233-9746

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/12/2014

Provider Address

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Female

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Specialty: Lactation Consultant (Registered Nurse) (Primary)

Female

Melissa Lietz RN, CLC

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Specialty: Lactation Consultant (Registered Nurse) (Primary)

Female

Erin Ernst RN IBCLC

Madison, WI

Specialty: Lactation Consultant (Registered Nurse) (Primary)