Organization
BLUE RIDGE BREASTFEEDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN O'REILLY IBCLC (MEMBER)
(301) 744-9566
Entity
Organization
Contact information
Practice address
11121 SUFFOLK DR, HAGERSTOWN, MD 21742-4065
(301) 744-9566
Mailing address
11121 SUFFOLK DR, HAGERSTOWN, MD 21742-4065
(301) 744-9566
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-61291
VA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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