Organization
LACTATION LAB INC.
Active
Organization
LACTATION LAB INC.
Active
Other names
Lactation Lab Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE CANALE (MD/ CEO/ LAB DIRECTOR)
(310) 508-5265
Entity
Organization
Contact information
Practice address
570 WESTWOOD PLZ BLDG 6350, LOS ANGELES, CA 90095-8352
(310) 508-5265
Mailing address
2315 27TH ST, SANTA MONICA, CA 90405-1921
(310) 998-5868
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619199791
—
CA
Enumeration date
02/19/2021
Last updated
02/19/2021
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