Organization
BLOOM LACTATION OF TYLER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR CONKEL BSN, RNC-MNN, IBCLC (LACTATION CONSULTANT)
(903) 805-0233
Entity
Organization
Contact information
Practice address
1217 WILMA ST, TYLER, TX 75701-5644
(903) 805-0233
Mailing address
1217 WILMA ST, TYLER, TX 75701-5644
(903) 805-0233
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
05/29/2025
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