Healthcare Provider Details

I. General information

NPI: 1740987239
Provider Name (Legal Business Name): L & M LACTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 SCHOONER CT
COLUMBUS OH
43221-4814
US

IV. Provider business mailing address

3855 SCHOONER CT
COLUMBUS OH
43221-4814
US

V. Phone/Fax

Practice location:
  • Phone: 614-477-2580
  • Fax:
Mailing address:
  • Phone: 614-477-2580
  • 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: MEGAN HOULE
Title or Position: MANAGER
Credential: RN IBCLC
Phone: 614-477-2580