Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maria Provencher

Individual provider Lactation Consultant (Non-RN) · NPI 1871098509

Maria Provencher is a Lactation Consultant (Non-RN) in LA Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

5638 Lake Murray Blvd Ste 332
LA Mesa, CA 91942-1929
Phone: (619) 481-8691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X

Record details

NPI number1871098509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2018
Last updated in NPPESMarch 26, 2018
Mailing address5638 Lake Murray Blvd Ste 332, La Mesa, CA 91942-1929

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