Organization
LACTATION HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY LYNN VAN ORMAN RN, IBCLC (OWNER/IBCLC)
(385) 498-4357
Entity
Organization
Contact information
Practice address
1548 E GREENFIELD AVE, MURRAY, UT 84121-2565
(385) 498-4357
Mailing address
1548 E GREENFIELD AVE, MURRAY, UT 84121-2565
(385) 498-4357
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
285485-3102
UT
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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