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NPI Code Detail

MEDICARE: BABY EYES LACTATION CONSULTING LLC

MEDICARE: BABY EYES LACTATION CONSULTING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1093360810
Entity Type Code : Organization
Provider Name (Legal Business Name) : BABY EYES LACTATION CONSULTING LLC
Provider Business Mailing Address
First Line : 5615 JUNIPER BEACH RD
Second Line :
City : PROSPECT
State : KY
Zip : 40059-9684
Country : US
Telephone Number : 502-773-3965
Fax Number : 502-443-0283
Provider Business Practice Location Address
First Line : 5615 JUNIPER BEACH RD
Second Line :
City : PROSPECT
State : KY
Zip : 40059-9684
Country : US
Telephone Number : 502-773-3965
Fax Number : 502-443-0283
Authorized Official
Title or Position : OWNER
Name : AMANDA GAIL AUBREY
Credential : APRN, IBCLC
Telephone Number : 502-773-3965
Provider Enumeration Date : 08/08/2019
Last Update Date : 04/10/2020

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Directions to “BABY EYES LACTATION CONSULTING LLC ” Practice Location

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