Provider Demographics
NPI:1356953798
Name:LIVING HOPE LACTATION SERVICES
Entity type:Organization
Organization Name:LIVING HOPE LACTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN IBCLC
Authorized Official - Phone:585-738-2507
Mailing Address - Street 1:62 WILLMONT ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-3620
Mailing Address - Country:US
Mailing Address - Phone:585-738-2507
Mailing Address - Fax:585-673-7260
Practice Address - Street 1:910 NORTH GOODMAN STREET STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-1460
Practice Address - Country:US
Practice Address - Phone:585-738-2507
Practice Address - Fax:585-673-7260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty