Healthcare Provider Details

I. General information

NPI: 1265363832
Provider Name (Legal Business Name): WITH LOVE LACTATION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7611 CRAIN HWY STE C150 UNIT 520
UPPER MARLBORO MD
20772
US

IV. Provider business mailing address

7611 CRAIN HWY STE C150 UNIT 520
UPPER MARLBORO MD
20772
US

V. Phone/Fax

Practice location:
  • Phone: 631-561-7580
  • Fax:
Mailing address:
  • Phone: 631-561-7580
  • 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: MRS. SOROYA WATSON
Title or Position: OWNER
Credential: RN, IBCLC
Phone: 631-561-7580