Individual
LARA WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4401 HARRISON BLVD STE 2645, OGDEN, UT 84403-3195
(801) 387-2880
(801) 387-2885
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5153739-4101
UT
Other
Enumeration date
01/31/2011
Last updated
01/29/2026
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