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

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