Provider Demographics
NPI:1194692855
Name:PROMISE LACTATION CONSULTING
Entity type:Organization
Organization Name:PROMISE LACTATION CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KERNS
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:802-236-7946
Mailing Address - Street 1:123 S MENDON RD
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:VT
Mailing Address - Zip Code:05701-6531
Mailing Address - Country:US
Mailing Address - Phone:802-236-7946
Mailing Address - Fax:802-419-4774
Practice Address - Street 1:123 S MENDON RD
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:VT
Practice Address - Zip Code:05701-6531
Practice Address - Country:US
Practice Address - Phone:802-236-7946
Practice Address - Fax:802-419-4774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty