Healthcare Provider Details

I. General information

NPI: 1063390904
Provider Name (Legal Business Name): LEARN TO LATCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W MEMORIAL RD
OKLAHOMA CITY OK
73114-2006
US

IV. Provider business mailing address

11805 N AIR DEPOT BLVD
EDMOND OK
73013-8330
US

V. Phone/Fax

Practice location:
  • Phone: 405-615-0007
  • Fax:
Mailing address:
  • Phone: 405-615-0007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WILD
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-314-6592