Provider Demographics
NPI:1710861018
Name:BREASTFEEDING CLINIC & RESEARCH CENTER
Entity type:Organization
Organization Name:BREASTFEEDING CLINIC & RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC, IBCLC
Authorized Official - Phone:336-989-5300
Mailing Address - Street 1:7495 FOX CHASE DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:NC
Mailing Address - Zip Code:27370-7778
Mailing Address - Country:US
Mailing Address - Phone:336-989-5300
Mailing Address - Fax:
Practice Address - Street 1:50 SALEM ST STE B
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3937
Practice Address - Country:US
Practice Address - Phone:336-989-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty