Organization
HOOSIER LACTATION LADY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH BOEHM RN, IBCLC (FOUNDER)
(505) 504-2201
Entity
Organization
Contact information
Practice address
903 BENTGRASS DR, GREENWOOD, IN 46143-6630
(505) 504-2201
Mailing address
903 BENTGRASS DR, GREENWOOD, IN 46143-6630
(505) 504-2201
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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