Individual
DR. LAUREN OPAL FLORENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 EAST 3900 SOUTH, SUITE #301, SALT LAKE CITY, UT 84124-1362
(801) 264-9111
(801) 685-0440
Mailing address
1250 EAST 3900 SOUTH, SUITE #301, SALT LAKE CITY, UT 84124-1362
(801) 264-9111
(801) 685-0440
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
180291
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180291
PHYSICIAN AND SURGEON
UT
Enumeration date
05/15/2007
Last updated
12/16/2010
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