Organization
BLUEBONNET LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RAE DUGAN IBCLC (OWNER/OPERATOR)
(512) 998-6347
Entity
Organization
Contact information
Practice address
5009 BALCONES DR, STE 7007, AUSTIN, TX 78731
(512) 909-7522
Mailing address
5009 BALCONES DR, STE 7007, AUSTIN, TX 78731
(512) 909-7522
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/04/2022
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