Healthcare Provider Details

I. General information

NPI: 1639878234
Provider Name (Legal Business Name): LITTLE LOVE LACTATION & FEEDING CONSULTANT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 LAPWING RD
EDMOND OK
73003-4829
US

IV. Provider business mailing address

801 W 33RD ST UNIT 8282
EDMOND OK
73083-9530
US

V. Phone/Fax

Practice location:
  • Phone: 405-916-9972
  • Fax: 405-888-8765
Mailing address:
  • Phone: 405-916-9972
  • Fax: 405-888-8765

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: ERIN J PRATER-BLOUNT
Title or Position: OWNER, OPERATOR
Credential: RN, BSN, IBCLC
Phone: 405-850-4143