Provider Demographics
NPI:1548061054
Name:TWIN CITIES LACTATION
Entity type:Organization
Organization Name:TWIN CITIES LACTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:KAYTEE
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:952-237-6478
Mailing Address - Street 1:1029 HAWTHORNE AVE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-2013
Mailing Address - Country:US
Mailing Address - Phone:952-237-6478
Mailing Address - Fax:
Practice Address - Street 1:1029 HAWTHORNE AVE E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-2013
Practice Address - Country:US
Practice Address - Phone:952-237-6478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty