Organization
GULF COAST LACTATION
Active
Other names
Gulf Coast Lactation
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN SCOTT THOMSON RN, IBCLC (CEO)
(251) 455-8928
Entity
Organization
Contact information
Practice address
368 COMMERCIAL PARK DR, FAIRHOPE, AL 36532-1910
(251) 455-8928
Mailing address
368 COMMERCIAL PARK DR, FAIRHOPE, AL 36532-1910
(251) 455-8928
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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