Individual
LAURALEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1756 W PARK AVE, RIVERTON, UT 84065-4701
(801) 254-0309
Mailing address
2892 E HARVEST LN, EAGLE MOUNTAIN, UT 84005-4299
(801) 400-4166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10413212-4405
UT
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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