Provider Demographics
NPI:1851265532
Name:DOAK, BROOKE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:DOAK
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 1:2216 TRALEE CIR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-9120
Mailing Address - Country:US
Mailing Address - Phone:214-733-4768
Mailing Address - Fax:
Practice Address - Street 1:2216 TRALEE CIR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-9120
Practice Address - Country:US
Practice Address - Phone:214-733-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX872285163WL0100X
TXL-307022163WL0100X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RN