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Individual

DR. SHELLEY M LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 581-7052
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 581-7052

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
12369074-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
21245
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
C131290
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3109577
CO
Enumeration date
12/27/2006
Last updated
07/29/2022
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