MEDICARE: THE LACTATION NETWORK, 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)
2	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1578331336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LACTATION NETWORK, LLC

Provider Business Mailing Address
First Line	:	1621 W CARROLL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3558 JEFFERSON ST N STE 5
Second Line	:
City	:	LEWISBURG
State	:	WV
Zip	:	24901-5730
Country	:	US
Telephone Number	:	888-510-0059
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SEVERIN PRICE
Credential	:
Telephone Number	:	713-430-6464

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	10/01/2025

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Directions to “THE LACTATION NETWORK, LLC ” Practice Location

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