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Individual

ERWIN M LASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4045 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5512
(801) 789-4997
(801) 789-4993
Mailing address
11323 S 675 W, SOUTH JORDAN, UT 84095-4080
(801) 664-3234

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144072-1701
UT

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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