Organization
LOLLIES LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACIE MINTZ FNP, IBCLC (OWNER)
(336) 816-9701
Entity
Organization
Contact information
Practice address
318 INDERA MILLS CT, WINSTON SALEM, NC 27101-3383
(336) 816-9701
Mailing address
2323 WESTOVER DR, WINSTON SALEM, NC 27103-3646
(336) 816-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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