NPI 1326138918 · live from the CMS NPI Registry
Lisa Dahlstrom, CCC-A
Audiologist in Salt Lake City, UT. National Provider Identifier 1326138918, active.
NPI record
| NPI | 1326138918 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 50 N Medical Dr, Salt Lake City, UT 84132 |
| Practice phone | 801-581-8915 |
| Mailing address | Po Box 581094, Salt Lake City, UT 84158 |
| Enumerated | October 13, 2006 |
| Last updated | October 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 112444-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.