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Lara Funakoshi, CCSH

NPI 1619734357 · on the registry since 2024

Practice

Address
375 S Chipeta Way Ste A200
Slc, UT 84108
Phone
(801) 587-3345
Fax
(801) 587-3349
Clinicians at this address
3

Registry record

Primary taxonomy
174H00000X
174H00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah