NPI 1790999621
Tidewater Lactation Group, INC.
Practice location
- Address
- 5741 Cleveland St STE 150, Virginia Beach, VA 23462-1777
- Phone
- (757) 422-5502
- Fax
- (757) 455-8055
Authorised official
- Name
- Elizabeth Ireland Flight
- Title
- President
- Phone
- (757) 618-6311
Registered specialties (2)
Lactation Consultant (Registered Nurse)
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1790999621
- Entity type
- Organization
- NPI issued
- 9 May 2007
- Record last updated
- 29 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.