Healthcare Provider Details

I. General information

NPI: 1174365464
Provider Name (Legal Business Name): THE LACTATION STATION, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 FEDERAL BLVD
DENVER CO
80211-3741
US

IV. Provider business mailing address

2949 FEDERAL BLVD
DENVER CO
80211-3741
US

V. Phone/Fax

Practice location:
  • Phone: 303-594-8896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL MALMAN
Title or Position: OWNER, IBCLC
Credential:
Phone: 303-594-8896