MARYLOU SANDOVAL IBCLC
NPI 1073972915
Lactation Consultant, Non-RN in Phoenix, AZ

Q: What is Marylou Sandoval's NPI number?

The NPI number for Marylou Sandoval is 1073972915. It was assigned to this individual provider in the NPPES registry on February 21, 2016.

Q: What is Marylou Sandoval's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

Q: When was this NPI record last updated?

The NPPES record for Marylou Sandoval was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2016

3536 W SAN JUAN AVE, PHOENIX, AZ 85019(623) 980-0347 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2016, Feb 21, 2016 (2 updates tracked since 2016).

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About Marylou Sandoval Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLOU SANDOVAL IBCLC (NPI 1073972915) is an individual lactation consultant, non-rn provider in Phoenix, Arizona, licensed in Arizona (L-29114) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1073972915

Entity TypeIndividualFemale

Primary Taxonomy174N00000X

Provider Legal NameMARYLOU SANDOVALCredential: IBCLC

Location Address3536 W SAN JUAN AVEPhoenix, AZ 85019-4514

Mailing Address3536 W San Juan AvePhoenix, AZ 85019-4514 · (623) 980-0347

Phone(623) 980-0347

Sole ProprietorYes

Enumeration DateFebruary 21, 2016

Last NPPES UpdateFebruary 22, 20162 updates tracked since enumeration

✔ NPI 1073972915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers

Taxonomy Code174N00000X

License✔ Licensed in AZ · L-29114

Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

3536 W SAN JUAN AVE, Phoenix, AZ 85019

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylou Sandoval's NPI number?

The NPI number for Marylou Sandoval is 1073972915. It was assigned to this individual provider in the NPPES registry on February 21, 2016.

Where is Marylou Sandoval located?

Marylou Sandoval practices at 3536 W San Juan Ave, Phoenix, AZ 85019. The listed phone number is (623) 980-0347.

What is Marylou Sandoval's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Marylou Sandoval was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.