Healthcare Provider Details
I. General information
NPI: 1144152380
Provider Name (Legal Business Name): LAUREN LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
670 N 200 W
SALT LAKE CITY UT
84103-1817
US
IV. Provider business mailing address
670 N 200 W
SALT LAKE CITY UT
84103-1817
US
V. Phone/Fax
- Phone: 801-901-3760
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: