Provider Demographics
NPI:1891336046
Name:KATIE WARD IBCLC LLC
Entity Type:Organization
Organization Name:KATIE WARD IBCLC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:716-491-3178
Mailing Address - Street 1:605 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1744
Mailing Address - Country:US
Mailing Address - Phone:716-491-3178
Mailing Address - Fax:
Practice Address - Street 1:605 GENESEE ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1744
Practice Address - Country:US
Practice Address - Phone:716-491-3178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty