Individual
TERESA LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3408 GRAYBUCK RD, AUSTIN, TX 78748-1031
(512) 660-0850
Mailing address
9807 N FM 620, APT 17110, AUSTIN, TX 78726
(512) 660-0850
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302792
—
374J00000X
Doula
—
—
Other
Enumeration date
12/15/2020
Last updated
12/19/2020
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