Bluebonnet Lactation LLC
Lactation Consultant, Non-RN in Austin, TX. Organization (NPI-2).
NPI number1053031609
StatusActive
Last updated in NPPESSep 4, 2022
Details
- NPI
- 1053031609
- Entity type
- Organization (NPI-2)
- Legal business name
- Bluebonnet Lactation LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2022
- Certification date
- Sep 4, 2022
- Last updated
- Sep 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | – | – | Yes |
Practice location
5009 Balcones DrSte 7007
Austin, TX 78731
Phone 512-909-7522
Mailing address
5009 Balcones DrSte 7007
Austin, TX 78731
Phone 512-909-7522
Authorized official
Heather Rae Dugan
Owner/Operator
5129986347
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