Organization
LEGACY LACTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA RENEE CONNOR IBCLC (CLINIC DIRECTOR)
(423) 321-2528
Entity
Organization
Contact information
Practice address
8310 FRONT GATE CIR, OOLTEWAH, TN 37363-9506
(423) 321-2528
Mailing address
8310 FRONT GATE CIR, OOLTEWAH, TN 37363-9506
(423) 321-2528
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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