Individual
LEANNE M. NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6165 W PINE VALLEY LN, SALT LAKE CITY, UT 84118-9340
(801) 712-9123
Mailing address
6165 W PINE VALLEY LN, SALT LAKE CITY, UT 84118-9340
(801) 712-9123
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
372790-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP1066378
RAIL ROAD MEDICARE
UT
Enumeration date
12/17/2010
Last updated
11/18/2021
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