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Contact Information

LUE BLAYLOCK
10908 BRIAROAKS DR
FORT WORTH, TX76140-5578
 Phone: 817-966-5226
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LUE BLAYLOCK · (Female)

NPI Number 1467986695
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2017
Last updated 04/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 567933
  • TX License # L-10590
Hospital affiliation(s) Not Available
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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