Individual
LANCE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
183026-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
183026-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10161
—
UT
Enumeration date
04/03/2006
Last updated
05/04/2010
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