| NPI | 1043196876 |
|---|---|
| Doing Business As | FORT WAYNE LACTATION |
| Entity Type | Organization |
| Authorized Contact | AMY SICKELS Owner 260-782-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |