Organization
PETERSON LACTATION SERVICES
Active
Other names
NOT APPLICABLE
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY G PETERSON BS, IBCLC, RLC (OWNER)
(414) 231-9640
Entity
Organization
Contact information
Practice address
530 N 108TH PL STE 100, WAUWATOSA, WI 53226-4253
(414) 231-9640
Mailing address
530 N 108TH PL STE 100, WAUWATOSA, WI 53226-4253
(414) 231-9640
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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