Provider Demographics
NPI:1043767429
Name:MILKONTAP
Entity Type:Organization
Organization Name:MILKONTAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-602-5026
Mailing Address - Street 1:9505 W THURSTON CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47396-8005
Mailing Address - Country:US
Mailing Address - Phone:678-602-5026
Mailing Address - Fax:
Practice Address - Street 1:148 ALBION ST
Practice Address - Street 2:#2
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2645
Practice Address - Country:US
Practice Address - Phone:888-781-7215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILLC00030261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center