Organization
NOURISHWELL, LLC
Active
Other names
NourishWell
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA LILE RD, LD, IBCLC (OWNER)
(816) 812-5396
Entity
Organization
Contact information
Practice address
5821 NE RUBY CT, LEES SUMMIT, MO 64064-1147
(816) 812-5396
Mailing address
5821 NE RUBY CT, LEES SUMMIT, MO 64064-1147
(816) 812-5396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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