Individual
EMILY FULLMER LICZBINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8105 RASOR BVLD, #261, PLANO, TX 75024
(214) 516-5355
Mailing address
8105 RASOR BVLD, #261, PLANO, TX 75024
(214) 516-5355
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
02/26/2025
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