Individual
DR. LAUREN VIRGINIA ZOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1433 N 1075 W STE 104, FARMINGTON, UT 84025-2746
(801) 298-1300
(801) 296-6199
Mailing address
PO BOX 25488, SALT LAKE CITY, UT 84125-0488
(800) 475-3698
(719) 591-2745
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
6020095-1205
UT
2085N0904X
Nuclear Radiology Physician
6020095-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
6020095-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000010000001
BCBSU
UT
01
—
107083502104
SELECTHEALTH
UT
01
—
1088740
DMBA
UT
01
—
145449
PEHP
UT
01
—
1548443716
EMI HEALTH
UT
05
—
1548443716
—
UT
01
—
9934921
AETNA HEALTHCARE
UT
01
—
P01180706
RAILROAD MEDICARE
UT
Enumeration date
12/11/2007
Last updated
02/26/2019
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