Healthcare Provider Details

I. General information

NPI: 1053095331
Provider Name (Legal Business Name): LAURA FRANCHOW BSN, RN, IBCLC, NTMN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 E 200 S
PROVO UT
84606-4963
US

IV. Provider business mailing address

835 E 200 S
PROVO UT
84606-4963
US

V. Phone/Fax

Practice location:
  • Phone: 801-824-5629
  • Fax:
Mailing address:
  • Phone: 801-824-5629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number9641524-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: