Organization
HONEYSUCKLE LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL GRESHAM IBCLC (LACTATION CONSULTANT)
(512) 799-6155
Entity
Organization
Contact information
Practice address
743 CHERICO ST, AUSTIN, TX 78702-4002
(512) 799-6155
Mailing address
743 CHERICO ST, AUSTIN, TX 78702-4002
(512) 799-6155
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-15654
TX
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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