Organization
COLUMBIA LACTATION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN LEONARD (OWNER)
(803) 319-7127
Entity
Organization
Contact information
Practice address
800 COLUMBIANA DR STE 116, IRMO, SC 29063-7782
(803) 250-5723
(803) 598-0100
Mailing address
800 COLUMBIANA DR STE 116, IRMO, SC 29063-7782
(803) 250-5723
(803) 598-0100
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
12/15/2022
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