Provider Demographics
NPI:1699021642
Name:CORPORATE LACTATION SERVICES, INC
Entity Type:Organization
Organization Name:CORPORATE LACTATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LACTATION CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:COLLIE
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:802-875-5683
Mailing Address - Street 1:1712 GREEN MOUNTAIN TPKE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05143-8321
Mailing Address - Country:US
Mailing Address - Phone:802-875-5683
Mailing Address - Fax:802-875-6455
Practice Address - Street 1:1712 GREEN MOUNTAIN TPKE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VT
Practice Address - Zip Code:05143-8321
Practice Address - Country:US
Practice Address - Phone:802-875-5683
Practice Address - Fax:802-875-6455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care