Provider Demographics
NPI:1760802581
Name:LACTATION SERVICES OF CONNECTICUT LLC
Entity Type:Organization
Organization Name:LACTATION SERVICES OF CONNECTICUT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:CASSIDY
Authorized Official - Last Name:ALIPERTI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-536-6002
Mailing Address - Street 1:236 STAMFORD AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-8233
Mailing Address - Country:US
Mailing Address - Phone:203-536-6002
Mailing Address - Fax:
Practice Address - Street 1:236 STAMFORD AVE
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-8233
Practice Address - Country:US
Practice Address - Phone:203-536-6002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-19
Last Update Date:2014-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002420261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty