MEDICARE: LEONA GRACE SAVAGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)
2	374J00000X	Doula	25051D	NM

General Provider Information

NPI Number	:	1225998263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONA GRACE SAVAGE

Provider Business Mailing Address
First Line	:	832 ALIYAH RD SPC 3
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-5100
Country	:	US
Telephone Number	:	575-680-8471
Fax Number	:

Provider Business Practice Location Address
First Line	:	832 ALIYAH RD SPC 3
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-5100
Country	:	US
Telephone Number	:	575-680-8471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	04/22/2026

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Directions to “ LEONA GRACE SAVAGE ” Practice Location

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