Provider Demographics
NPI:1275167454
Name:LATCH BREASTFEEDING AND POSTPARTUM WELLNESS CENTER
Entity Type:Organization
Organization Name:LATCH BREASTFEEDING AND POSTPARTUM WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-584-7452
Mailing Address - Street 1:320 ST MARTINS PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-7178
Mailing Address - Country:US
Mailing Address - Phone:910-584-7452
Mailing Address - Fax:910-507-2004
Practice Address - Street 1:154 BOW ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5072
Practice Address - Country:US
Practice Address - Phone:910-584-7452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty