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Contact Information

BLOOM LACTATION OF TYLER, LLC
1217 WILMA ST
TYLER, TX75701-5644
 Phone: 903-805-0233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
Indicates primary specialty

NPI Profile & details for BLOOM LACTATION OF TYLER, LLC

NPI Number 1740978121
LBN Legal business name BLOOM LACTATION OF TYLER, LLC
Authorized official TAYLOR CONKEL - (LACTATION CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2023
Last updated 05/29/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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