Organization
LAKE LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANA GARGALIANOS BSN, RN, IBCLC (OWNER/LACTATION CONSULTANT)
(440) 315-9797
Entity
Organization
Contact information
Practice address
1464 WESTWOOD AVE, LAKEWOOD, OH 44107-3702
(440) 201-9411
Mailing address
1464 WESTWOOD AVE, LAKEWOOD, OH 44107-3702
(440) 201-9411
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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