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Organization

LACTATION LIGHTHOUSE, LLC

Active
Other names
Lactation Lighthouse, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA JOHNSON BSPH, IBCLC (OWNER/IBCLC)
(734) 224-5471
Entity
Organization

Contact information

Practice address
905 W 11 MILE RD, MADISON HEIGHTS, MI 48071-3103
(734) 224-5471
Mailing address
905 W 11 MILE RD, MADISON HEIGHTS, MI 48071-3103
(734) 224-5471

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
174N00000X
Lactation Consultant (Non-RN)
Primary
225700000X
Massage Therapist
374J00000X
Doula

Other

Enumeration date
10/14/2024
Last updated
03/13/2026
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