Organization
LAKEWOOD RANCH LACTATION
Active
Other names
Lactation Loop
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MICHELLE CHIVAS RN, IBCLC (OWNER)
(248) 207-3070
Entity
Organization
Contact information
Practice address
7345 INTERNATIONAL PL STE 109, LAKEWOOD RANCH, FL 34240-8468
(941) 254-2502
(941) 200-4279
Mailing address
7345 INTERNATIONAL PL STE 109, LAKEWOOD RANCH, FL 34240-8468
(941) 254-2502
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
10/02/2023
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