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Individual

DR. LANE FARR SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10150 CENTENNIAL PKWY, SANDY, UT 84070-4103
(801) 256-7631
Mailing address
2689 BRIDGER BLVD, SANDY, UT 84093-1836
(801) 942-1543

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
150771-1205
UT

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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