Provider Demographics
NPI:1881199982
Name:LACTATION HOUSE CALLS, LLC
Entity Type:Organization
Organization Name:LACTATION HOUSE CALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTATION
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:212-381-0775
Mailing Address - Street 1:PO BOX 2509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-8813
Mailing Address - Country:US
Mailing Address - Phone:646-895-3788
Mailing Address - Fax:
Practice Address - Street 1:100 OLD PALISADE RD APT 3001
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7024
Practice Address - Country:US
Practice Address - Phone:212-381-0775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty