Healthcare Provider Details

I. General information

NPI: 1184588733
Provider Name (Legal Business Name): BRYONY ROSE LEE-SAAR IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 RAVEN HILLS CT
COLORADO SPRINGS CO
80919-1316
US

IV. Provider business mailing address

78 RAVEN HILLS CT
COLORADO SPRINGS CO
80919-1316
US

V. Phone/Fax

Practice location:
  • Phone: 719-373-3715
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-320858
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: