Individual
MICHAEL JOHN LANSPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, SHOCK-TRAUMA ICU, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
5121 S COTTONWOOD ST, SHOCK-TRAUMA ICU, MURRAY, UT 84107-5701
(801) 507-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61129871205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
6112987-1205
UT
207RP1001X
Pulmonary Disease Physician
6112987-1205
UT
208M00000X
Hospitalist Physician
61129871205
UT
Other
Enumeration date
05/17/2007
Last updated
09/16/2021
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