MEDICARE: LOTTIE'S LACTATION SERVICES, 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
1	163WL0100X	Lactation Consultant (Registered Nurse)

General Provider Information

NPI Number	:	1295359974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTTIE'S LACTATION SERVICES, LLC

Provider Business Mailing Address
First Line	:	78 KREWE CIR
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-6821
Country	:	US
Telephone Number	:	850-895-9922
Fax Number	:	850-465-8999

Provider Business Practice Location Address
First Line	:	78 KREWE CIR
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-6821
Country	:	US
Telephone Number	:	850-895-9922
Fax Number	:	850-465-8999

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LOTTIE J DAVIS
Credential	:	RN, BSN, IBCLC
Telephone Number	:	850-895-9922

Provider Enumeration Date	:	05/29/2020
Last Update Date	:	11/05/2024

Similar Medicare Providers

1205659257 — LOTTIE J DAVIS RN, BSN, IBCLC
Practice Location Address:

78 KREWE CIR
SANTA ROSA BEACH, FL
32459-6821

Practice Phone: 850-895-9922
Practice Fax:

1619167913 — PATRICIA LOMELI
Practice Location Address:

11731 TELEGRAPH RD STE E
SANTA FE SPRINGS, CA
90670-6821

Practice Phone: 626-348-4306
Practice Fax:

1538755426 — MAYRA MARTINEZ
Practice Location Address:

11731 TELEGRAPH RD STE E
SANTA FE SPRINGS, CA
90670-6821

Practice Phone: 626-632-1223
Practice Fax:

1821764796 — JOHANNA M DUQUE
Practice Location Address:

2278 LOS PADRES BLVD APT 4
SANTA CLARA, CA
95050-6821

Practice Phone: 650-766-5944
Practice Fax:

1588423743 — TONI NICHOLE COLLADO NP
Practice Location Address:

2040 S SANTA CRUZ ST
ANAHEIM, CA
92805-6821

Practice Phone: 714-577-2124
Practice Fax: 714-577-2125

1932163060 — DR. CHARLES YANG M.D.
Practice Location Address:

17552 BEACH BLVD , SUITE B
HUNTINGTON BEACH, CA
92647-6821

Practice Phone: 714-848-1177
Practice Fax: 714-848-4568

Directions to “LOTTIE'S LACTATION SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.