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1811716905
LANE LAWRENCE
SALT LAKE CITY, UT
NPI
1811716905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
LANE LAWRENCE
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
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Mailing Address
LANE LAWRENCE
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5411
Phone number:
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