Provider Demographics
NPI:1023361151
Name:BOSOM BUDDIES
Entity Type:Organization
Organization Name:BOSOM BUDDIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:720-482-0109
Mailing Address - Street 1:8331 WILLOW ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2854
Mailing Address - Country:US
Mailing Address - Phone:720-482-0109
Mailing Address - Fax:720-294-8778
Practice Address - Street 1:8331 WILLOW ST UNIT C
Practice Address - Street 2:
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2854
Practice Address - Country:US
Practice Address - Phone:720-482-0109
Practice Address - Fax:720-294-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty