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NPI Code Detail

MEDICARE: MELISSA K CONORD-MORROW LM, RN, IBCLC

MEDICARE: MELISSA K CONORD-MORROW LM, RN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)L-127181FL
2374J00000XDoula
3176B00000XMidwifeMW175FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467584631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA K CONORD-MORROW LM, RN, IBCLC
Provider Business Mailing Address
First Line : 3914 SUNSET LAKE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33810-2839
Country : US
Telephone Number : 863-559-1991
Fax Number : 888-299-6337
Provider Business Practice Location Address
First Line : 1525 EDGEWATER BEACH DR
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4737
Country : US
Telephone Number : 863-680-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 08/15/2019

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