IndividualActive
Tawanda Logan-Hurt, IBCLC
NPI 1710609391 · Lactation Consultant (Non-RN) · Sidon, MS
Provider details
- NPI number
- 1710609391
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-306983 (MS)
Specialties & taxonomies
Other Service Providers
Practice location
114 Ware St
Sidon, MS 38954-6648
Phone: (662) 458-2379
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 194
Sidon, MS 38954-0194
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.