Individual
HEATHER RAE DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 BALCONES DR, STE 7007, AUSTIN, TX 78731
(512) 998-6347
Mailing address
5009 BALCONES DR, STE 7007, AUSTIN, TX 78731
(512) 998-6347
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-92562
IBCLCE
—
Enumeration date
10/22/2019
Last updated
11/01/2022
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