Healthcare Provider Details

I. General information

NPI: 1104704733
Provider Name (Legal Business Name): ALEXANDRIA LACTATION PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7708 RICHMOND HWY # 1089
ALEXANDRIA VA
22306-2803
US

IV. Provider business mailing address

7708 RICHMOND HWY # 1089
ALEXANDRIA VA
22306-2803
US

V. Phone/Fax

Practice location:
  • Phone: 804-855-7796
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: CARA GREER
Title or Position: CO-OWNER
Credential: RN IBCLC
Phone: 804-855-7796