Provider Demographics
NPI:1134725807
Name:LOUKS-RAATZ, CHRISTINA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:LOUKS-RAATZ
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KASSON
Mailing Address - State:MN
Mailing Address - Zip Code:55944-1781
Mailing Address - Country:US
Mailing Address - Phone:507-259-0530
Mailing Address - Fax:
Practice Address - Street 1:1403 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:KASSON
Practice Address - State:MN
Practice Address - Zip Code:55944-1781
Practice Address - Country:US
Practice Address - Phone:507-259-0530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-1967702163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant