Provider Demographics
NPI:1407421936
Name:NORTON, LILLIAN TOWNSEND (CNA)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:TOWNSEND
Last Name:NORTON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 W 4600 S
Mailing Address - Street 2:
Mailing Address - City:HOOPER
Mailing Address - State:UT
Mailing Address - Zip Code:84315-6753
Mailing Address - Country:US
Mailing Address - Phone:404-725-1009
Mailing Address - Fax:
Practice Address - Street 1:6393 W 4600 S
Practice Address - Street 2:
Practice Address - City:HOOPER
Practice Address - State:UT
Practice Address - Zip Code:84315-6753
Practice Address - Country:US
Practice Address - Phone:404-725-1009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTUT011758901016251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health