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Organization

LACTATION DEPOT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN SZERSZEN (CEO)
(574) 315-3196
Entity
Organization

Contact information

Practice address
10775 MCKINLEY HWY STE C, OSCEOLA, IN 46561-9164
(574) 315-3196
Mailing address
10275 PEOTONE DR, GRANGER, IN 46530-7744

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
261QM1300X
Multi-Specialty Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/18/2022
Last updated
11/25/2022
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