Individual
DR. BRANDON LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
PO BOX 413067, SALT LAKE CITY, UT 84141-3067
(801) 581-3998
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7265370-1205
UT
Other
Enumeration date
12/27/2007
Last updated
11/18/2021
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