Organization
IMMA LACTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SIEBOLD IBCLC (OWNER/IBCLC)
(323) 364-4397
Entity
Organization
Contact information
Practice address
537 N LAS PALMAS AVE, LOS ANGELES, CA 90004-1017
(323) 364-4397
Mailing address
537 N LAS PALMAS AVE, LOS ANGELES, CA 90004-1017
(323) 364-4397
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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