Individual
JOHN U LAWRENCE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 S 500 E, STE 202, SLC, UT 84102-1094
(801) 582-2011
Mailing address
34 S 500 E, STE 202, SLC, UT 84102-1094
(801) 582-2011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4803531-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54605810001
—
UT
Enumeration date
04/26/2006
Last updated
11/30/2016
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