=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174445977
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MILK MAVEN AZ LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2026
-----------------------------------------------------
Last Update Date | 07/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3406 N 131ST LN
-----------------------------------------------------
City | LITCHFIELD PARK
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85340-5912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-606-3669
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3406 N 131ST LN
-----------------------------------------------------
City | LITCHFIELD PARK
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85340-5912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-606-3669
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | LAUREN GARCIA
-----------------------------------------------------
Credential | RN, IBCLC
-----------------------------------------------------
Telephone | 623-606-3669
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WL0100X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Registered Nurse)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------