LANEY WALLACE

SALT LAKE CITY, UT
NPI1447127188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  14270399-4405)
Enumeration Date2025-10-18
Last Update Date2026-02-12
Business Address
LANEY WALLACE
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-4000
Mailing Address
LANEY WALLACE
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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