Krystie Lawshea, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Lamesa, TX

NPI 1811260102 · NPPES record last updated Feb 16, 2012

Key facts

NPI
1811260102
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
11136588 (TX)
Practice address
2202 S 2ND St
Lamesa, TX 79331-5006
Phone
(806) 872-7954
NPI assigned
Feb 16, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11136588TXMDLactation Consultant (Non-RN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 11136588 TX Yes

Addresses

Primary practice location

2202 S 2ND St
Lamesa, TX 79331-5006

Mailing address

2202 S 2ND St
Lamesa, TX 79331-5006

Other providers in Lamesa, TX

All providers in Lamesa, TX · Lactation Consultant (Non-RN) in Texas

Sources for this page

Verify at the official NPI Registry.