Organization
LATCHED LAKE COUNTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE SZALACINSKI RN, BSN, IBCLC, CLC (OWNER, RN, IBCLC)
(262) 204-7574
Entity
Organization
Contact information
Practice address
W307N1497 GOLF RD STE 102, DELAFIELD, WI 53018-2112
(262) 204-7574
Mailing address
1380 ORCHARD CIR, OCONOMOWOC, WI 53066-6503
(262) 204-7574
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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