Provider Demographics
NPI:1275230583
Name:BABY LATCH LOVE, LLC
Entity Type:Organization
Organization Name:BABY LATCH LOVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LICZBINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:469-225-3938
Mailing Address - Street 1:2753 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4155
Mailing Address - Country:US
Mailing Address - Phone:214-516-5355
Mailing Address - Fax:
Practice Address - Street 1:2753 SCENIC DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4155
Practice Address - Country:US
Practice Address - Phone:214-516-5355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty