Individual
LAUREN LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
417 S WAKARA WAY STE 1410, SALT LAKE CITY, UT 84108-1448
(801) 213-0859
Mailing address
256 W 25 S, CLEARFIELD, UT 84015-9272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11791383-4201
UT
Other
Enumeration date
07/28/2021
Last updated
12/17/2021
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