Individual
LAUREN G CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 S 500 E, SALT LAKE CITY, UT 84102-1002
(801) 596-1990
Mailing address
3515 CERES DR, SALT LAKE CITY, UT 84124-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73098003102
UT
163WP0808X
Psychiatric/Mental Health Registered Nurse
7309800-3102
UT
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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