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1104763101 NPI number — LEADING LACTATION, LLC

NPI Number: 1104763101
Health Care Provider/Practitioner: LEADING LACTATION, LLC

Information about “1104763101” NPI (LEADING LACTATION, LLC) exists in 1104763101 in HTML format HTML  |  1104763101 in plain Text format TXT  |  1104763101 in PDF (Portable Document Format) PDF  |  1104763101 in an XML format XML  formats.

NPI Number : 1104763101 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104763101",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "LEADING LACTATION, LLC",
    "ParentOrgTIN": null,
    "OrgName": "LEADING LACTATION, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "68 MARSEILLE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONTGOMERY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77356-8613",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1223 W 34TH ST STE C-400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77018-7311",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-832-4628",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/29/2026",
    "LastUpdateDate": "04/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FITZSIMMONS",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "281-832-4628",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WL0100X",
        "TaxonomyName": "Lactation Consultant (Registered Nurse)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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