Lora Lynn Breda
Individual provider Active NPI Lactation Consultant (Non-RN) · Bogart, GA
NPI 1831445592 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1831445592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- Practice address
- 1110 Planters TRL
Bogart, GA 30622-2076 - Phone
- (770) 733-7861
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Yes |
Addresses
Primary practice location
1110 Planters TRL
Bogart, GA 30622-2076
Mailing address
1110 Planters TRL
Bogart, GA 30622-2076
Phone (770) 733-7861
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- Alyssa Brown
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All providers in Bogart, GA · Lactation Consultant (Non-RN) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.