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Organization
MOMMA'S MILK LACTATION SUPPORT LLC
Active
Organization
MOMMA'S MILK LACTATION SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CLARK BSN RN IBCLC (OWNER)
(614) 370-9141
Entity
Organization
Contact information
Practice address
3640 NATALIE DR, GROVE CITY, OH 43123-9462
(614) 370-9141
Mailing address
3640 NATALIE DR, GROVE CITY, OH 43123-9462
(614) 370-9141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
NULL
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
NULL
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
NULL
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2026
Last updated
09/07/2026
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