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Individual

MEGAN ELIZABETH DISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
63 N 300 E # 202, PROVO, UT 84606-3241
(801) 210-1969
Mailing address
5961 S HEIRLOOM PL, TAYLORSVILLE, UT 84123-5249
(513) 706-7538

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11777887-3102
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-316369
UT

Other

Enumeration date
12/11/2024
Last updated
12/11/2024
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