Most Relevant Information
Provider Data
| NPI Number: | 1003636614 |
| Provider Name: | ELIZABETH LAYNE BLOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 374J00000X |
| Specialty: | Doula |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2024 |
| Last Updated: | 10/16/2024 |
Provider Practice Location
1560 157TH AVE NE
HAM LAKE
MN
55304
Practice Location Phone/Fax
| Phone: | 7634865604 |
| Fax: |
Provider Mailing Location
1560 157TH AVE NE
HAM LAKE
MN
55304
Provider Mailing Phone/Fax
| Phone: | 7634865604 |
| Fax: |