Provider Demographics
NPI:1609312867
Name:SEACOAST LACTATION SERVICES
Entity Type:Organization
Organization Name:SEACOAST LACTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-280-8371
Mailing Address - Street 1:436 NEWINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-2730
Mailing Address - Country:US
Mailing Address - Phone:508-280-8371
Mailing Address - Fax:
Practice Address - Street 1:436 NEWINGTON RD
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-2730
Practice Address - Country:US
Practice Address - Phone:508-280-8371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051078-21311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home