Organization
INTERLUDE LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA JACOBS IBCLC (OWNER/FOUNDER)
(505) 216-6122
Entity
Organization
Contact information
Practice address
3329 WILWAY AVE NE, ALBUQUERQUE, NM 87106-1942
(505) 216-6122
Mailing address
3329 WILWAY AVE NE, ALBUQUERQUE, NM 87106-1942
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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