Individual
LAURA LUNDT HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0005
(801) 581-2352
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9355744-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/20/2011
Last updated
03/09/2017
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