Madeline Lauder

NPI #1750064523 in Slc, Utah

Provider Information

NPI Number: 1750064523
Entity Type: Individual
Name: Madeline Lauder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 9, 2023
Last Updated: Aug 9, 2023

Practice Location

Address: 2174 E PARKWAY AVE
City: Slc
State: Utah
ZIP Code: 84109-1505
Phone: (801) 300-2074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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