Healthcare Provider Details

I. General information

NPI: 1538804539
Provider Name (Legal Business Name): THE LACTATION CONNECTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 E COLFAX AVE STE 4-240
DENVER CO
80220-1566
US

IV. Provider business mailing address

6110 E COLFAX AVE STE 4-240
DENVER CO
80220-1566
US

V. Phone/Fax

Practice location:
  • Phone: 720-849-0823
  • Fax:
Mailing address:
  • Phone:
  • 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: JENNI JORDAN ABEL
Title or Position: CO-FOUNDER
Credential: RN, IBCLC
Phone: 303-900-2315