Individual provider · Type 1 NPI
Lue Blaylock
Lactation Consultant (Registered Nurse) · Fort Worth, TX
NPI number
1467986695
Active
Practice location
10908 Briaroaks Dr
Fort Worth, TX 76140-5578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 567933 (TX) |
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-10590 (TX) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1467986695
Lue Blaylock's National Provider Identifier is 1467986695, issued on Apr 14, 2017. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 14, 2017.