MEDICARE: MILKMED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1548131063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILKMED LLC

Provider Business Mailing Address
First Line	:	5250 FOREST RD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-4329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 FOREST RD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-4329
Country	:	US
Telephone Number	:	612-201-9759
Fax Number	:

Authorized Official
Title or Position	:	LACTATION CONSULTANT
Name	:	VIRGINIA ANNE POLLOCK
Credential	:	MPH, IBCLC
Telephone Number	:	612-201-9759

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “MILKMED LLC ” Practice Location

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