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

Marylou Sandoval, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1073972915

Marylou Sandoval, IBCLC is a Lactation Consultant (Non-RN) in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2016

Practice location Address checks out

3536 W San Juan Ave
Phoenix, AZ 85019-4514
Phone: (623) 980-0347
Show map & directions

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

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-29114 (AZ)

Record details

NPI number1073972915
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedFebruary 21, 2016
Last updated in NPPESFebruary 22, 2016

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