Individual
LAURA LYNN SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-9933
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6185229-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
6185229-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247530
—
OH
05
—
1805700000
—
WV
05
—
64027154
—
KY
Enumeration date
10/07/2005
Last updated
07/24/2024
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