Provider Demographics
NPI:1316689417
Name:HARR-LAGIN, KELSEY (IBCLC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:HARR-LAGIN
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BALTIMORE PL NW STE 160
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2118
Mailing Address - Country:US
Mailing Address - Phone:404-454-9715
Mailing Address - Fax:404-393-3739
Practice Address - Street 1:1 BALTIMORE PL NW STE 160
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2118
Practice Address - Country:US
Practice Address - Phone:404-454-9715
Practice Address - Fax:404-393-3739
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN