Provider Demographics
NPI:1326867276
Name:PEAIRSON LACTATION LLC
Entity type:Organization
Organization Name:PEAIRSON LACTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LACTATION CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PEAIRSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, IBCLC
Authorized Official - Phone:682-803-5090
Mailing Address - Street 1:3770 ZION HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76088-7438
Mailing Address - Country:US
Mailing Address - Phone:817-694-1840
Mailing Address - Fax:
Practice Address - Street 1:3770 ZION HILL RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76088-7438
Practice Address - Country:US
Practice Address - Phone:817-694-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty