Healthcare Provider Details

I. General information

NPI: 1063254738
Provider Name (Legal Business Name): MILK AND COOKIES LACTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8508 SLABSTONE CT
RALEIGH NC
27613-7485
US

IV. Provider business mailing address

8508 SLABSTONE CT
RALEIGH NC
27613-7485
US

V. Phone/Fax

Practice location:
  • Phone: 617-312-0975
  • Fax:
Mailing address:
  • Phone:
  • 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: MAURA FIGUEROA
Title or Position: LACTATION CONSULTANT, CO-OWNER
Credential: RN, IBCLC
Phone: 617-312-0975