Provider Demographics
NPI:1346054715
Name:LACTATION CONSULTANT AT HOME, LLC
Entity type:Organization
Organization Name:LACTATION CONSULTANT AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RN, IBCLC
Authorized Official - Phone:914-374-2714
Mailing Address - Street 1:25 HETTIEFRED RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-3258
Mailing Address - Country:US
Mailing Address - Phone:914-374-2714
Mailing Address - Fax:203-349-2422
Practice Address - Street 1:1200 HIGH RIDGE RD STE 2
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1202
Practice Address - Country:US
Practice Address - Phone:914-218-6231
Practice Address - Fax:203-349-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty