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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