Provider Demographics
NPI:1437688181
Name:LULLABY LACTATION
Entity Type:Organization
Organization Name:LULLABY LACTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLC
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CLC
Authorized Official - Phone:518-810-8765
Mailing Address - Street 1:47 CRYSTAL LN
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1635
Mailing Address - Country:US
Mailing Address - Phone:518-810-8765
Mailing Address - Fax:
Practice Address - Street 1:47 CRYSTAL LANE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054
Practice Address - Country:US
Practice Address - Phone:518-810-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338099-1163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty