NPI

Sandra Ballard

NPI 1720701741

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
IBCLC
Type
Individual
Enumeration date
2022-09-23
Last updated
2022-09-23

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Specialties

Licenses

License UT
L-17810

Location

Practice location
2245 North 400 East, Suite 202
City
North Logan UT
Postal code
84341
Phone
(435) 554-1208

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in North Logan, UT. 185 records in the public file.

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