Individual provider · Type 1 NPI

Melissa Logan, IBCLC

Lactation Consultant (Registered Nurse) · Decatur, AR

NPI number 1194330951 Active

Practice location

8099 Warren Rd
Decatur, AR 72722-9406

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100XL-109999 (AR)

Lactation Consultant (Registered Nurse): Definition to come...

About NPI 1194330951

Melissa Logan, IBCLC's National Provider Identifier is 1194330951, issued on Sep 9, 2020. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Decatur, AR. The record was last updated on Sep 9, 2020.