Provider Demographics
NPI:1831651587
Name:COLUMBIA LACTATION CARE LLC
Entity type:Organization
Organization Name:COLUMBIA LACTATION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-319-7127
Mailing Address - Street 1:800 COLUMBIANA DR STE 116
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7782
Mailing Address - Country:US
Mailing Address - Phone:803-250-5723
Mailing Address - Fax:803-598-0100
Practice Address - Street 1:800 COLUMBIANA DR STE 116
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7782
Practice Address - Country:US
Practice Address - Phone:803-250-5723
Practice Address - Fax:803-598-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty