Organization
LILYARDEN LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA WALSH RN, IBCLC (OWNER)
(971) 241-1353
Entity
Organization
Contact information
Practice address
722 N YTURRIA ST UNIT B, PORT ISABEL, TX 78578-4644
(971) 241-1353
Mailing address
722 N YTURRIA ST UNIT B, PORT ISABEL, TX 78578-4644
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
—
164W00000X
Licensed Practical Nurse
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
364SW0102X
Women's Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/12/2025
Last updated
05/14/2025
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