National Provider Identifier Database

LUE BLAYLOCK
Lactation Consultant


Contact Information

LUE BLAYLOCK
10908 BRIAROAKS DR
FORT WORTH, TX76140-5578
Phone: 817-966-5226
Fax:
Website:
Specialty Taxonomy Code
* Lactation Consultant 163WL0100X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for LUE BLAYLOCK

NPI Number 1467986695
Credentials
Entity Individual
Enumeration date 04/14/2017
Last updated 04/14/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 567933
  • TX License #: L-10590
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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