Healthcare Provider Details

I. General information

NPI: 1740820521
Provider Name (Legal Business Name): LAUREN HOLLI AKERS IBCLC, CPD, CBD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 FARMINGTON AVE STE 304
FARMINGTON CT
06032-1952
US

IV. Provider business mailing address

4 ECHO LN
AVON CT
06001-4518
US

V. Phone/Fax

Practice location:
  • Phone: 860-436-0662
  • Fax:
Mailing address:
  • Phone: 860-436-0662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-303933
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: