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NPI Code Detail

MEDICARE: THE LACTATION NETWORK, LLC

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
1163WL0100XLactation Consultant (Registered Nurse)
2174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1689441958
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 : 4701 COX RD STE 285
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6808
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 : 12/07/2023
Last Update Date : 03/12/2026

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Directions to “THE LACTATION NETWORK, LLC ” Practice Location

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