Individual
LAURA M GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
15303 HUEBNER RD STE 15, SAN ANTONIO, TX 78248-0983
(210) 646-1570
(281) 925-0648
Mailing address
PO BOX 16167, SAN ANTONIO, TX 78212
(210) 646-1570
(281) 925-0648
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-14281
TX
Other
Enumeration date
03/16/2012
Last updated
12/07/2017
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