Provider Demographics
NPI:1447976121
Name:SILVAS, LAURA BROOKE (RN IBCLC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BROOKE
Last Name:SILVAS
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6217 CHAPEL HILL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8478
Mailing Address - Country:US
Mailing Address - Phone:972-842-9500
Mailing Address - Fax:
Practice Address - Street 1:6217 CHAPEL HILL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8478
Practice Address - Country:US
Practice Address - Phone:972-842-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX879016163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant