Healthcare Provider Details
I. General information
NPI: 1871422725
Provider Name (Legal Business Name): YILAN QUAN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3503 BEACON CREEK CT
SPRING TX
77386-1373
US
IV. Provider business mailing address
3503 BEACON CREEK CT
SPRING TX
77386-1373
US
V. Phone/Fax
- Phone: 832-693-2181
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | L-314572 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: