Individual
MRS. COURTNEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLE, CIMI
Contact information
Practice address
139 OAKBROOK DR, COPPELL, TX 75019-4033
(469) 569-9917
Mailing address
179 HIGHLAND MEADOW CIR, COPPELL, TX 75019-5736
(469) 569-9917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174H00000X
Health Educator
—
CA
174N00000X
Lactation Consultant (Non-RN)
Primary
11093949
TX
253Z00000X
In Home Supportive Care Agency
—
—
374J00000X
Doula
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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