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Organization

LONE STAR LACTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE VAN NOY MS, CCC-SLP, IBCLC (OWNER/MANAGER)
(817) 793-1748
Entity
Organization

Contact information

Practice address
252 S ELM ST, KELLER, TX 76248-2257
(817) 793-1748
Mailing address
14517 MEADOWLAND CIR, NEWARK, TX 76071-9103
(817) 793-1748

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
174N00000X
Lactation Consultant (Non-RN)
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
07/26/2025
Last updated
07/26/2025
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