Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARA MIE FUNAKOSHI, CCSH
ActiveLARA MIE FUNAKOSHI, CCSH is a Health Educator healthcare provider located in SLC, Utah. NPI 1619734357 is currently active in the NPPES registry. Verify at CMS.
Health Educator · SLC, UT
Registration Details
- NPI Number
- 1619734357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2024 (2.4794351275304 yrs)
- Last Updated
- Feb 29, 2024
- License
-
230 (UT)
Practice Information
- Address
-
375 S CHIPETA WAY STE A200SLC, UT, 841081261Browse UT providers · Browse ZIP 84108
- Phone
- 8015873345
- Fax
- 8015873349
- Primary Specialty
-
Health Educator
174H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.