Individual
ELIZABETH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
9314 FOREST HILL BLVD STE 204, WELLINGTON, FL 33411-6577
(561) 213-4944
(561) 964-0035
Mailing address
9314 FOREST HILL BLVD STE 204, WELLINGTON, FL 33411-6577
(561) 213-4944
(561) 964-0035
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1154532
FL
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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