Provider Demographics
NPI:1083317762
Name:LACTATION CONSULTATIONS LLC
Entity Type:Organization
Organization Name:LACTATION CONSULTATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELUSO
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:323-595-4006
Mailing Address - Street 1:133 W MARKET ST STE 125
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2801
Mailing Address - Country:US
Mailing Address - Phone:323-595-4006
Mailing Address - Fax:310-872-1533
Practice Address - Street 1:45 W FALL CREEK PARKWAY SOUTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5736
Practice Address - Country:US
Practice Address - Phone:323-595-4006
Practice Address - Fax:310-872-1533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty