Organization
LACTATION CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA R ROBERTS IBCLC (OWNER)
(254) 728-3627
Entity
Organization
Contact information
Practice address
15036 COUNTY ROAD 156, BLUFF DALE, TX 76433-3560
(254) 728-3627
(254) 728-3626
Mailing address
PO BOX 265, BLUFF DALE, TX 76433-0265
(254) 728-3627
(254) 728-3626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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