Organization
TIDEWATER LACTATION GROUP, INC.
Active
Organization
TIDEWATER LACTATION GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH IRELAND FLIGHT BSN, RN, IBCLC (PRESIDENT)
(757) 618-6311
Entity
Organization
Contact information
Practice address
5741 CLEVELAND ST STE 150, VIRGINIA BEACH, VA 23462-1777
(757) 422-5502
(757) 455-8055
Mailing address
5741 CLEVELAND ST STE 150, VIRGINIA BEACH, VA 23462-1777
(757) 422-5502
(757) 455-8055
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001182636
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/09/2007
Last updated
08/29/2022
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