MEDICARE: BOULDER LACTATION CLINIC 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1932962933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOULDER LACTATION CLINIC LLC

Provider Business Mailing Address
First Line	:	5277 MANHATTAN CIR STE 230
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-8231
Country	:	US
Telephone Number	:	720-843-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	5277 MANHATTAN CIR STE 230
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-8201
Country	:	US
Telephone Number	:	720-843-5671
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER MEDICAL DIRECTOR
Name	:	DR. LAUREN KARCHER
Credential	:	DNP, FNP-BC, IBCLC
Telephone Number	:	720-843-5671

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	12/02/2025

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