Provider Demographics
NPI:1588252068
Name:SARAH GREGORY LLC
Entity type:Organization
Organization Name:SARAH GREGORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:617-299-6006
Mailing Address - Street 1:5 HOOD FARM RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1066
Mailing Address - Country:US
Mailing Address - Phone:617-299-6006
Mailing Address - Fax:
Practice Address - Street 1:5 HOOD FARM RD
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-1066
Practice Address - Country:US
Practice Address - Phone:617-299-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty