Individual
DR. LANE C. CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4252 HIGHLAND DR, #200, SLC, UT 84124-2670
(801) 993-1800
(801) 993-1699
Mailing address
4252 HIGHLAND DR, #200, SLC, UT 84124-2670
(801) 993-1800
(801) 993-1699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1869831205
UT
Other
Enumeration date
02/07/2007
Last updated
03/14/2017
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