Organization
CREDO LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN R SOPP RN, IBCLC (RN, IBCLC)
(919) 219-2680
Entity
Organization
Contact information
Practice address
1800 MISTY HOLLOW LN, APEX, NC 27502-6222
(919) 219-2680
Mailing address
1800 MISTY HOLLOW LN, APEX, NC 27502-6222
(919) 219-2680
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/26/2022
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