Healthcare Provider Details

I. General information

NPI: 1598536443
Provider Name (Legal Business Name): BONNIE LYNN GARCIA RN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8331 S CONTINENTAL DIVIDE RD
LITTLETON CO
80127-4231
US

IV. Provider business mailing address

11960 LIONESS WAY STE 270
PARKER CO
80134-5640
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-3200
  • Fax: 33-904-8510
Mailing address:
  • Phone: 303-805-7879
  • Fax: 303-805-8076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-151901
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0083280
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: