Provider Demographics
NPI:1831351295
Name:HEALTHY HORIZONS LACTATION SERVICES
Entity type:Organization
Organization Name:HEALTHY HORIZONS LACTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:DUKAS-JANAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, OBCLC, RLC
Authorized Official - Phone:650-579-2726
Mailing Address - Street 1:720 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3005
Mailing Address - Country:US
Mailing Address - Phone:650-579-2726
Mailing Address - Fax:
Practice Address - Street 1:720 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3005
Practice Address - Country:US
Practice Address - Phone:650-579-2726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA196-13217174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty