Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 175M00000X | Lay Midwife |
NPI | 1023410347 |
---|---|
Provider Name | Laura Hopper |
First Address | St George, UT 84790-6417 |
Second Address | St George, UT 84790-6417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2014 |
Last Update Date | 17/09/2014 |