Elizabeth Layne Block
Individual provider Active NPI Doula · Ham Lake, MN
NPI 1003636614 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1003636614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 1560 157TH Ave NE
Ham Lake, MN 55304 - Phone
- (763) 486-5604
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-319086 | MN | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes | ||
| Lactation Consultant (Non-RN) | 174N00000X | L-319086 | MN |
Addresses
Primary practice location
1560 157TH Ave NE
Ham Lake, MN 55304
Mailing address
1560 157TH Ave NE
Ham Lake, MN 55304
Phone (763) 486-5604
Other providers in Ham Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.