Organization
GOOD LIFE LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA KAY MIZNER RN, BSN, IBCLC (CO-OWNER/LACTATION CONSULTANT)
(402) 690-1689
Entity
Organization
Contact information
Practice address
7398 W 162ND TER, OVERLAND PARK, KS 66085-8240
(402) 690-1689
Mailing address
6614 GOODE DR, SHAWNEE, KS 66216-2515
(913) 662-3415
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124703376
—
KS
Enumeration date
11/11/2024
Last updated
11/11/2024
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