Organization Name: | LACTATION CARE CONSULTING LLC |
NPI Number: | 1386960987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA KRISTINE VINSON (LACTATION CONSULTANT) |
Mailing Address: | 2144 Clearwater Dr Choctaw |
State: | OK US |
Postal Code: | 730206237 |
Phone Number: | 4057611644 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2010 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | R90483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |