Individual
KATHLEEN LAWLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7975
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
374573-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
374573-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3250
—
UT
Enumeration date
04/25/2006
Last updated
05/04/2010
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