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Organization

LOUDOUN LACTATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE BRUNDAGE R.N., IBCLC, RLC (PRESIDENT)
(703) 723-6621
Entity
Organization

Contact information

Practice address
43768 JENKINS LN, ASHBURN, VA 20147-4822
(703) 723-6621
(703) 723-7877
Mailing address
43768 JENKINS LN, ASHBURN, VA 20147-4822
(703) 723-6621

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001172419
VA

Other

Enumeration date
03/11/2014
Last updated
03/11/2014
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