Provider Demographics
NPI:1194236828
Name:FLORY RN IBCLC, GAIL B (RN IBCLC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:B
Last Name:FLORY RN IBCLC
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 1:4947 ESKRIDGE TER NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3442
Mailing Address - Country:US
Mailing Address - Phone:301-706-0632
Mailing Address - Fax:
Practice Address - Street 1:4947 ESKRIDGE TER NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3442
Practice Address - Country:US
Practice Address - Phone:301-706-0632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN43931163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant