Individual
KATJA PRIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
201 SETON PKWY, ROUND ROCK, TX 78665-8000
(512) 324-4000
Mailing address
111 RAMBLE LN, AUSTIN, TX 78745-2278
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-94774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L-94774
—
TX
Enumeration date
12/01/2019
Last updated
12/01/2019
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