OTHER SIDE LACTATION LLC NPI 1477003614

NPI Information

NPI: 1477003614
Provider Name: OTHER SIDE LACTATION, LLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Organization

Specialization: Lactation Consultant

Address:
4838 E GLENN ST
TUCSON, AZ
ZIP 85712
Phone: (520) 349-7745
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OTHER SIDE LACTATION, LLC is a lactation consultant registered nurse in Tucson, AZ. OTHER SIDE LACTATION, LLC NPI is 1477003614. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4838 E GLENN ST
TUCSON, AZ
ZIP 85712-237
Phone: (520) 349-7745

The provider's authorized official is Christina Blake .
The authorized official title is Owner and has the following contact phone number (520) 349-7745.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WL0100X	Registered Nurse	Lactation Consultant		ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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