Individual
LISA A. BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2719 APPLEBROOK LN, CHATTANOOGA, TN 37421-1150
(865) 582-6585
Mailing address
2719 APPLEBROOK LN, CHATTANOOGA, TN 37421-1150
(865) 582-6585
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-46463
TN
Other
Enumeration date
05/18/2015
Last updated
03/19/2025
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