Individual
DR. LAURA M. MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-2140
(801) 581-2766
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036.167893
IL
2085N0700X
Neuroradiology Physician
Primary
12220364-1205
UT
2085R0202X
Diagnostic Radiology Physician
036.167893
IL
Other
Enumeration date
04/01/2014
Last updated
04/30/2024
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