Provider Demographics
NPI:1780133546
Name:LACTATION SOLUTIONS OF NORTHERN ARIZONA
Entity type:Organization
Organization Name:LACTATION SOLUTIONS OF NORTHERN ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:E N
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:520-485-2198
Mailing Address - Street 1:3445 N KING ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-2027
Mailing Address - Country:US
Mailing Address - Phone:520-485-2198
Mailing Address - Fax:
Practice Address - Street 1:3445 N KING ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-2027
Practice Address - Country:US
Practice Address - Phone:520-485-2198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL-87150174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty