Funakoshi, Lara Mie
Funakoshi, Lara Mie is an individual health care provider with primary practice located at 375 S Chipeta Way Ste A200 , Slc UT 84108-1261. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Funakoshi, Lara Mie can be contacted via phone (801) 587-3345.Contact Information
Primary practice address
375 S Chipeta Way Ste A200
Slc UT 84108-1261
Phone: (801) 587-3345
Fax: (801) 587-3349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 230 | Utah |
Profile Details
| NPI number | 1619734357 |
|---|---|
| LBN Legal business name | Funakoshi, Lara Mie |
| Credentials | CCSH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 29th, 2024 |
| Last updated | Feb 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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