LV Lactation LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

LV LACTATION LLC

Practice address

10577 Acacia Park PL
Las Vegas, NV 89135-1243

Phone

(702) 919-6519

NPI assigned

Jan 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren E Frey, M.A., CCC-SLP, IBCLC

Title

Owner

Phone

(702) 919-6519

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1942764428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10577 ACACIA PARK PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351243",
            "telephone_number": "702-919-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10577 ACACIA PARK PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351243",
            "telephone_number": "702-919-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-919-6519",
        "authorized_official_credential": "M.A., CCC-SLP, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Lactation Consultant (Non-RN) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.