Individual
LAUREN KAY MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N 1900 E RM 5R218, SALT LAKE CITY, UT 84132-0002
(801) 581-7822
Mailing address
30 N 1900 E RM 5R218, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8897056-4405
UT
Other
Enumeration date
06/26/2019
Last updated
04/12/2024
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