Provider Demographics
NPI:1598566259
Name:MILK & CRADLE LLC
Entity type:Organization
Organization Name:MILK & CRADLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIKARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, IBCLC
Authorized Official - Phone:434-218-0593
Mailing Address - Street 1:162 RICHARDS CT
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-3709
Mailing Address - Country:US
Mailing Address - Phone:434-218-0593
Mailing Address - Fax:
Practice Address - Street 1:2256 S SEMINOLE TRL
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:VA
Practice Address - Zip Code:22727-2501
Practice Address - Country:US
Practice Address - Phone:434-218-0593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty