Organization
LACTATION INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN P SHELL IBCLC (DIRECTOR)
(818) 995-7442
Entity
Organization
Contact information
Practice address
568 N GREENCRAIG RD, LOS ANGELES, CA 90049-2842
(310) 476-1404
(310) 476-1404
Mailing address
3441 CLAIRTON PL, ENCINO, CA 91436-4137
(818) 995-7442
(818) 995-0634
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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