Healthcare Provider Details
I. General information
NPI: 1063341071
Provider Name (Legal Business Name): HELD LACTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3623 ELKADER RD
BALTIMORE MD
21218-2002
US
IV. Provider business mailing address
3623 ELKADER RD
BALTIMORE MD
21218-2002
US
V. Phone/Fax
- Phone: 443-285-1683
- Fax: 443-785-9429
- Phone: 443-899-1571
- Fax: 443-785-9429
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHLEEN
SHAMP
Title or Position: OWNER, LACTATION CONSULTANT
Credential: IBCLC
Phone: 443-899-1571