Provider Demographics
NPI:1407508443
Name:LITTLE OPIHI LACTATION LLC
Entity Type:Organization
Organization Name:LITTLE OPIHI LACTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LITCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:239-285-5503
Mailing Address - Street 1:73-4359 WAIPAHE ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-8568
Mailing Address - Country:US
Mailing Address - Phone:239-285-5503
Mailing Address - Fax:
Practice Address - Street 1:73-4359 WAIPAHE ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-8568
Practice Address - Country:US
Practice Address - Phone:239-285-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty