Provider Demographics
NPI:1740929694
Name:LACTATION CONSULTANTS OF AMERICA
Entity type:Organization
Organization Name:LACTATION CONSULTANTS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:650-223-4208
Mailing Address - Street 1:PO BOX 3474
Mailing Address - Street 2:
Mailing Address - City:BIG BEAR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92314-3474
Mailing Address - Country:US
Mailing Address - Phone:650-709-6677
Mailing Address - Fax:833-563-2266
Practice Address - Street 1:105 E MEADOW LN
Practice Address - Street 2:
Practice Address - City:BIG BEAR CITY
Practice Address - State:CA
Practice Address - Zip Code:92314-9410
Practice Address - Country:US
Practice Address - Phone:323-847-6713
Practice Address - Fax:833-563-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty