Provider Demographics
NPI:1003514688
Name:LET'S TALK LACTATION CO.
Entity Type:Organization
Organization Name:LET'S TALK LACTATION CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOLLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:318-308-9848
Mailing Address - Street 1:413 GREENLAND RD APT 206
Mailing Address - Street 2:
Mailing Address - City:TONTITOWN
Mailing Address - State:AR
Mailing Address - Zip Code:72762-5317
Mailing Address - Country:US
Mailing Address - Phone:318-308-9848
Mailing Address - Fax:
Practice Address - Street 1:413 GREENLAND RD APT 206
Practice Address - Street 2:
Practice Address - City:TONTITOWN
Practice Address - State:AR
Practice Address - Zip Code:72762-5317
Practice Address - Country:US
Practice Address - Phone:318-308-9848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR946099958OtherDRIVERS LICENSE