Healthcare Provider Details

I. General information

NPI: 1003514688
Provider Name (Legal Business Name): LET'S TALK LACTATION CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 GREENLAND RD APT 206
TONTITOWN AR
72762-5317
US

IV. Provider business mailing address

413 GREENLAND RD APT 206
TONTITOWN AR
72762-5317
US

V. Phone/Fax

Practice location:
  • Phone: 318-308-9848
  • Fax:
Mailing address:
  • Phone: 318-308-9848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: DOLLY P CRESPO
Title or Position: MANAGER
Credential: RN, IBCLC
Phone: 318-308-9848