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Individual

NANCY P LAWLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403
(801) 387-2800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
10473161-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026679300
DC
01
19460010
CAREFIRST BCBS
DC
05
415096100
MD
05
462600100
MD
01
54491802
CAREFIRST BCBS
MD
Enumeration date
05/04/2006
Last updated
07/23/2019
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