Individual
LAURIE K OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
149 W 4050 N, PLEASANT VIEW, UT 84414-2739
(801) 592-8109
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
373028-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999000021033
—
UT
Enumeration date
05/02/2007
Last updated
05/24/2022
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