Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lara Mie Funakoshi, CCSH

Individual provider Health Educator · NPI 1619734357

Lara Mie Funakoshi, CCSH is a Health Educator in Slc, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

375 S Chipeta Way Ste A200
Slc, UT 84108-1261
Phone: (801) 587-3345
Fax: (801) 587-3349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X · Licence 230 (UT)

Record details

NPI number1619734357
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCSH
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024