Organization
NOURISHWELL LACTATION, LLC
Active
Parent organization
NOURISHWELL LLC
Other names
NourishWell Lactation LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOURISHWELL LLC
Authorized official
GEORGINA LILE RD, IBCLC (OWNER, PROVIDER)
(816) 812-5396
Entity
Organization
Contact information
Practice address
5821 NE RUBY CT, LEES SUMMIT, MO 64064-1147
(816) 812-5396
Mailing address
5821 NE RUBY CT, LEES SUMMIT, MO 64064-1147
(816) 812-5396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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