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General NPI Number Information
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NPI Number | 1093504466
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Entity Type | Organization
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Legal Business Name | LAVABABY LACTATION, LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 110 PINE GROVE CMNS UNIT 110B
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City | YORK
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State | PA
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Zip | 17403-5151
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Country | US
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Telephone | 717-297-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 4145 BOSLEY SCHOOL RD
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City | GLEN ROCK
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State | PA
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Zip | 17327-7713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | IBCLC, OWNER
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Name | JONELLE LUND
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Credential | RN BSN IBCLC
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Telephone | 616-307-2931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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