Provider Demographics
NPI:1326857764
Name:HARRINGTON, JILLIAN (PHD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JILLIAN
Other - Middle Name:
Other - Last Name:LOTTRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1457 E MEADOW BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-5598
Mailing Address - Country:US
Mailing Address - Phone:541-914-7562
Mailing Address - Fax:
Practice Address - Street 1:1457 E MEADOW BLUFF LN
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5598
Practice Address - Country:US
Practice Address - Phone:541-914-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician