Individual
LAUREN T. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 824-1886
Mailing address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14174814-1204
UT
Other
Enumeration date
04/20/2023
Last updated
09/30/2024
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