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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICIA RENEE BALOK, RN, IBCLC

Active Sole Proprietor

ALICIA RENEE BALOK, RN, IBCLC is a Lactation Consultant Nurse healthcare provider located in GRANTS, New Mexico. NPI 1376149062 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · GRANTS, NM

Registration Details

NPI Number
1376149062
Provider Type
Individual
Gender
Female
NPI Issued
Dec 8, 2020 (5.6406113884279 yrs)
Last Updated
Dec 8, 2020
License
RN-74890 (NM)
Sole Proprietor
Yes

Practice Information

Address
1016 E ROOSEVELT AVE
GRANTS, NM, 870202118
Browse NM providers · Browse ZIP 87020
Phone
5052874446
Primary Specialty
Lactation Consultant Nurse
163WL0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.