Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lactation Consultant |
163WL0100X |
| NPI # | 1942085410 |
| LBN Legal business name | OPTIMOM LACTATION SERVICES, LLC. |
| Authorized official | JENNIFER MOORE - (AUTHORIZED MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/31/2023 |
| Last updated | 08/31/2023 - About 3 years ago |
| Identifiers | n/a |
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