OrganizationActive
Heirloom Lactation, LLC
NPI 1053286013 · Lactation Consultant (Non-RN) · Averill Park, NY
Provider details
- NPI number
- 1053286013
- Entity type
- Organization
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Authorized official
- Cara Banks, Lactation Consultant, Owner
Practice location
96 Turner Hill Rd
Averill Park, NY 12018-4020
Phone: (925) 989-9748
Fax: (518) 650-1914
Mailing address
96 Turner Hill Rd
Averill Park, NY 12018-4020
Registry dates
- Enumerated
- 2025-10-09
- Last updated
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.