Individual
LAWRENCE K NOBUHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3656101205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00914
UNITED HEALTHCARE
UT
01
—
107008564103
IHC
UT
01
—
110242900
PALMETTO
UT
01
—
350391
DMBA
UT
01
—
69382
PEHP
UT
01
—
QM0000060097
ALTIUS
UT
Enumeration date
08/29/2006
Last updated
11/27/2023
Update your record
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