Individual
SAMARA D. LAZERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
196 E. 2000 N., SUITE 104, TOOELE, UT 84074
(435) 843-2576
Mailing address
196 E. 2000 N., SUITE 104, TOOELE, UT 84074
(435) 843-2576
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8229754-1205
UT
Other
Enumeration date
06/24/2008
Last updated
01/03/2019
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