Organization
MODERN LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. JANET COLSON IBCLC (SOLE MEMBER)
(620) 521-1546
Entity
Organization
Contact information
Practice address
3170 N CAMPUS DR, GARDEN CITY, KS 67846-3728
(620) 521-1546
Mailing address
3170 N CAMPUS DR, GARDEN CITY, KS 67846-3728
(620) 521-1546
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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