Provider Demographics
NPI:1699558965
Name:AUSTIN CITY LACTATION, LLC
Entity type:Organization
Organization Name:AUSTIN CITY LACTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:STEGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:512-601-6726
Mailing Address - Street 1:925 WESTBANK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:740-212-8417
Practice Address - Street 1:925 WESTBANK DR STE 100
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6648
Practice Address - Country:US
Practice Address - Phone:512-601-6726
Practice Address - Fax:740-212-8417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty