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General NPI Number Information
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NPI Number | 1265371686
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Entity Type | Organization
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Legal Business Name | LAVENDER & LATCH, LLC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 209 E BASELINE RD STE E208
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City | TEMPE
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State | AZ
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Zip | 85283-1388
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Country | US
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Telephone | 602-341-5306
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W ELLIOT RD STE 107
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City | TEMPE
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State | AZ
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Zip | 85284-1328
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Country | US
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Telephone | 623-340-5708
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICA GLAZE
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Credential |
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Telephone | 623-340-5708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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