Organization
THE VILLAGE LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GRAVENOR IBCLC (OWNER)
(443) 266-6200
Entity
Organization
Contact information
Practice address
8077 BAPTIST CHURCH RD, MARDELA SPRINGS, MD 21837-2421
(443) 266-6200
(443) 354-1853
Mailing address
PO BOX 316, MARDELA SPRINGS, MD 21837-0316
(443) 266-6200
(443) 354-1853
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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