Provider Demographics
NPI:1710707708
Name:LILACO BREASTFEEDING SERVICES, LLC
Entity type:Organization
Organization Name:LILACO BREASTFEEDING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LORIE
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:786-627-3769
Mailing Address - Street 1:8931 SW 222ND TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1289
Mailing Address - Country:US
Mailing Address - Phone:786-627-3769
Mailing Address - Fax:
Practice Address - Street 1:8931 SW 222ND TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1289
Practice Address - Country:US
Practice Address - Phone:786-627-3769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty