Provider Demographics
NPI:1104895069
Name:SUCHER, VICTORIA LOASA (ND)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LOASA
Last Name:SUCHER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3152 N UNIVERSITY AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-4746
Mailing Address - Country:US
Mailing Address - Phone:801-229-1014
Mailing Address - Fax:801-229-1067
Practice Address - Street 1:3152 N UNIVERSITY AVE STE 220
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4746
Practice Address - Country:US
Practice Address - Phone:801-229-1014
Practice Address - Fax:801-229-1067
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5802191-7100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath