Organization
BRILLIANT BIRTHING AND LACTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CAPURATA CRNP, IBCLC (OWNER)
(240) 350-4525
Entity
Organization
Contact information
Practice address
5083 REIGATE CT, FREDERICK, MD 21703-6821
(240) 350-4525
Mailing address
5083 REIGATE CT, FREDERICK, MD 21703-6821
(240) 350-4525
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609245018
—
MD
Enumeration date
12/10/2021
Last updated
12/10/2021
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