Individual
DR. LAUREN H THEILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR STE 2185, SALT LAKE CITY, UT 84132
(801) 581-8425
Mailing address
30 N 1900 E STE 2A200, SALT LAKE CITY, UT 84132-0002
(801) 581-8425
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
11673A
WY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
9373044-1205
UT
Other
Enumeration date
08/08/2011
Last updated
12/17/2021
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