Individual
LAURA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 587-6308
Mailing address
127 S 500 E, SUITE140, SALT LAKE CITY, UT 84102-1959
(801) 587-6308
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
7126799-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467597005
—
UT
Enumeration date
10/28/2005
Last updated
12/29/2025
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