IndividualActive
Latasha Wager, IBCLC
NPI 1720807357 · Lactation Consultant (Non-RN) · Maricopa, AZ
Provider details
- NPI number
- 1720807357
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-312763 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
22529 N Celtic Ave
Maricopa, AZ 85139-8899
Phone: (480) 766-2908
Approximate (ZIP-level) locationGet directions
Mailing address
22529 N Celtic Ave
Maricopa, AZ 85139-8899
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.