Organization
ST CHARLES LACTATION CARE & SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA IWASZKOWIEC IBCLC (OWNER, LACTATION CONSULTANT)
(773) 354-1853
Entity
Organization
Contact information
Practice address
1423 N 2ND ST, SAINT CHARLES, MO 63301-2107
(636) 306-3410
(636) 206-8193
Mailing address
3104 WATERWHEEL PL, SAINT CHARLES, MO 63301-2433
(773) 354-1853
(636) 206-8193
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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