Provider Demographics
NPI:1053095331
Name:FRANCHOW, LAURA (BSN, RN, IBCLC, NTMN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:FRANCHOW
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC, NTMN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 E 200 S
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-4963
Mailing Address - Country:US
Mailing Address - Phone:801-824-5629
Mailing Address - Fax:
Practice Address - Street 1:835 E 200 S
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-4963
Practice Address - Country:US
Practice Address - Phone:801-824-5629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9641524-3102163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant