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Individual
LAURIE A NIEDEREE
Active
Individual
LAURIE A NIEDEREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
181273-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501271
—
NV
01
—
107006952102
IHC
UT
05
—
118915800
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
264745
DESERET MUTUAL
UT
01
—
73541
PEHP
UT
05
—
806732900
—
ID
05
—
822462
—
AZ
01
—
870545614LN2
EDUCATORS MUTUAL
UT
01
—
9754
HEALTHY U
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07467
MOLINA
UT
Enumeration date
10/04/2006
Last updated
10/15/2012
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