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General NPI Number Information
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NPI Number | 1023909918
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Entity Type | Individual
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Provider Name | LORILIN HAWKES BUCKWAY RN,IBCLC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 6836 S 1600 E
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City | UINTAH
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State | UT
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Zip | 84405-9795
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Country | US
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Telephone | 801-643-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 6836 S 1600 E
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City | UINTAH
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State | UT
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Zip | 84405-9795
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Country | US
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Telephone | 801-643-6022
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 260414-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L318411
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License Number State | UT
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