Individual
LAUREN SPACIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 442-0934
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-0934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A16502
CA
207R00000X
Internal Medicine Physician
Primary
25MB11564100
NJ
208M00000X
Hospitalist Physician
20A16502
CA
Other
Enumeration date
03/02/2015
Last updated
05/22/2025
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