Individual
MARK LAVERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-6393
Mailing address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-6393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14241531-1205
UT
Other
Enumeration date
03/20/2024
Last updated
11/06/2025
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