Individual
DR. LARA LYNELLE HARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 S 900 E, SALT LAKE CITY, UT 84105-3208
(801) 464-7660
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 464-7660
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
3579971205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
357997-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854058774
—
UT
Enumeration date
05/19/2006
Last updated
01/22/2016
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