Provider Demographics
NPI:1659643906
Name:WILBERT, JANIS M (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:M
Last Name:WILBERT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN STE B300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2510
Mailing Address - Country:US
Mailing Address - Phone:214-549-9312
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE B300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2510
Practice Address - Country:US
Practice Address - Phone:214-549-9312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174H00000XOther Service ProvidersHealth Educator