MEDICARE: LACTATION SUCCESS, 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	:	1821809179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LACTATION SUCCESS, LLC

Provider Business Mailing Address
First Line	:	6440 OVERBROOK ST
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-1944
Country	:	US
Telephone Number	:	703-599-9180
Fax Number	:

Provider Business Practice Location Address
First Line	:	6440 OVERBROOK ST
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-1944
Country	:	US
Telephone Number	:	703-599-9180
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	CAROLYN O'LEARY MOSIER
Credential	:	APRN, IBCLC, RLC
Telephone Number	:	703-599-9180

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	01/16/2025

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Directions to “LACTATION SUCCESS, LLC ” Practice Location

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