| NPI | 1710583935 |
|---|---|
| Doing Business As | LIFESTYLE HEARING OF UTAH |
| Entity Type | Organization |
| Authorized Contact | JEFFERY B LARSEN Owner/Audiologist 801-417-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |