Organization
TENNESSEE LACTATION CARE LLC
Active
Organization
TENNESSEE LACTATION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA PLUNKETT RN, IBCLC (OWNER, LACTATION CONSULTANT)
(615) 656-0839
Entity
Organization
Contact information
Practice address
1488 JOHN WINDROW RD, EAGLEVILLE, TN 37060-4021
(615) 656-0839
(901) 466-6994
Mailing address
1488 JOHN WINDROW RD, EAGLEVILLE, TN 37060-4021
(615) 656-0839
(901) 466-6994
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31455031
AETNA
TN
05
—
Q082537
—
TN
Enumeration date
07/03/2023
Last updated
07/03/2023
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