Provider Demographics
NPI:1407627961
Name:FOSTER, LINDSAY (RN BSN, IBCLC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RN BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-4349
Mailing Address - Country:US
Mailing Address - Phone:435-503-4258
Mailing Address - Fax:
Practice Address - Street 1:977 GARDEN DR
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-4349
Practice Address - Country:US
Practice Address - Phone:435-503-4258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5195853-3102163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant