Individual
KARLY LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 S 900 E, MILLCREEK, UT 84124-1112
(801) 743-6111
Mailing address
4460 S HIGHLAND DR STE 120, MILLCREEK, UT 84124-3550
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
UT
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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