Provider Demographics
NPI:1417546359
Name:SKILLED LACTATION SOLUTIONS LLC
Entity Type:Organization
Organization Name:SKILLED LACTATION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGRITALO
Authorized Official - Suffix:
Authorized Official - Credentials:CLC
Authorized Official - Phone:248-688-0334
Mailing Address - Street 1:26711 WOODWARD AVE STE LLA
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1364
Mailing Address - Country:US
Mailing Address - Phone:248-688-0334
Mailing Address - Fax:
Practice Address - Street 1:26711 WOODWARD AVE STE LLA
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1364
Practice Address - Country:US
Practice Address - Phone:248-688-0334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty