Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Lactation Group, Inc

Organization Lactation Consultant (Registered Nurse) · NPI 1790999621

Tidewater Lactation Group, Inc is a Lactation Consultant (Registered Nurse) in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5741 Cleveland St Ste 150
Virginia Beach, VA 23462-1777
Phone: (757) 422-5502
Fax: (757) 455-8055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 0001182636 (VA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1790999621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Flight — President · (757) 618-6311
NPI enumeratedMay 9, 2007
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address5741 Cleveland St Ste 150, Virginia Beach, VA 23462-1777

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