NPI 1902218290

Susan Johnson, IBCLC

Practitioner Lactation Consultant (Non-RN) Salt Lake City, UT

Practice location

Address: 2180 S 1300 E STE 600 Parkview Plaza One, Salt Lake City, UT 84106-4462
Phone: (801) 580-4419
Mailing address: PO Box 522425, Salt Lake City, UT 84152-2425

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-17518 (UT)

Other Lactation Consultant, Non-RN providers in Utah →

Registry record

NPI: 1902218290
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2014
Record last updated: 21 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.