Healthcare Provider Details

I. General information

NPI: 1205522547
Provider Name (Legal Business Name): ALL ABOUT THE MILK LACTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

548 BALSAM FIR DR
CARY NC
27519-7605
US

IV. Provider business mailing address

548 BALSAM FIR DR
CARY NC
27519-7605
US

V. Phone/Fax

Practice location:
  • Phone: 919-609-9344
  • Fax:
Mailing address:
  • Phone: 919-609-9344
  • 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: MS. EMILY JO WITKOWSKI
Title or Position: OWNER
Credential: RN, IBCLC
Phone: 919-609-9344