Organization
LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA M RODRIGUEZ BS,IBCLC (CLINIC DIRECTOR)
(239) 851-0909
Entity
Organization
Contact information
Practice address
4539 SW 15TH PL, CAPE CORAL, FL 33914-6314
(239) 851-0909
(866) 229-4468
Mailing address
4539 SW 15TH PL, CAPE CORAL, FL 33914-6314
(239) 851-0909
(866) 229-4468
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-5482653
LACTATION
FL
Enumeration date
01/20/2023
Last updated
01/20/2023
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