Provider Demographics
NPI:1093360810
Name:BABY EYES LACTATION CONSULTING LLC
Entity Type:Organization
Organization Name:BABY EYES LACTATION CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:AUBREY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, IBCLC
Authorized Official - Phone:502-773-3965
Mailing Address - Street 1:5615 JUNIPER BEACH RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-9684
Mailing Address - Country:US
Mailing Address - Phone:502-773-3965
Mailing Address - Fax:502-443-0283
Practice Address - Street 1:5615 JUNIPER BEACH RD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-9684
Practice Address - Country:US
Practice Address - Phone:502-773-3965
Practice Address - Fax:502-443-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care