MELISSA LOGAN IBCLC
NPI 1194330951
Registered Nurse - Lactation Consultant in Decatur, AR
Active since September 09, 2020
About Melissa Logan Ibclc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA LOGAN IBCLC (NPI 1194330951) is an individual lactation consultant provider in Decatur, Arkansas, licensed in Arkansas (L-109999) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1194330951
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameMELISSA LOGANCredential: IBCLC
Location Address8099 WARREN RDDecatur, AR 72722-9406
Mailing Address8099 Warren RdDecatur, AR 72722-9406
Phone(480) 603-6261
Sole ProprietorYes
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1194330951 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in AR · L-109999
8099 WARREN RD, Decatur, AR 72722
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194330951, enumerated as an "individual" on September 09, 2020.
The provider is located at 8099 WARREN RD DECATUR, AR 72722 and the phone number is (480) 603-6261.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.
