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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