IndividualActive
Alicia Balok, RN, IBCLC
NPI 1376149062 · Lactation Consultant (Registered Nurse) · Grants, NM
Provider details
- NPI number
- 1376149062
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN-74890 (NM)
Mailing address
503 S Grandview Dr
Gallup, NM 87301-6019
Registry dates
- Enumerated
- 2020-12-08
- Last updated
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.