MEDICARE: KIMBERLY LAGARDA

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	163WL0100X	Lactation Consultant (Registered Nurse)	RN162178	AZ

General Provider Information

NPI Number	:	1528919651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY LAGARDA

Provider Business Mailing Address
First Line	:	3112 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1613
Country	:	US
Telephone Number	:	520-869-3565
Fax Number	:	833-471-2668

Provider Business Practice Location Address
First Line	:	3112 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1613
Country	:	US
Telephone Number	:	520-869-3565
Fax Number	:	833-471-2668

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ KIMBERLY LAGARDA ” Practice Location

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