MEDICARE: THE NEST OF LAKELAND

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	174N00000X	Lactation Consultant (Non-RN)
3	374J00000X	Doula

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629624580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEST OF LAKELAND

Provider Business Mailing Address
First Line	:	3838 LAKELAND HILLS BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-1980
Country	:	US
Telephone Number	:	863-578-8633
Fax Number	:	888-299-6337

Provider Business Practice Location Address
First Line	:	3838 LAKELAND HILLS BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-1980
Country	:	US
Telephone Number	:	863-578-8633
Fax Number	:	888-299-6337

Authorized Official
Title or Position	:	FOUNDER/DIRECTOR
Name	:	MELISSA CONORD-MORROW
Credential	:	LM, RN, IBCLC
Telephone Number	:	863-559-1991

Provider Enumeration Date	:	08/15/2019
Last Update Date	:	08/15/2019

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Directions to “THE NEST OF LAKELAND ” 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.

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