MEDICARE: YILAN QUAN 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
1	163WL0100X	Lactation Consultant (Registered Nurse)	L-314572	TX

General Provider Information

NPI Number	:	1871422725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YILAN QUAN IBCLC

Provider Business Mailing Address
First Line	:	3503 BEACON CREEK CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3503 BEACON CREEK CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1373
Country	:	US
Telephone Number	:	832-693-2181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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