Search › Utah › 1041C0700X
Lauren Jackson
NPI 1104384759 · on the registry since 2019
Practice
- Address
- 5383 S 900 E Ste 103
Murray, UT 84117 - Phone
- (801) 872-5516
- Fax
- (801) 212-9942
- Clinicians at this address
- 9
Additional practice sites
- 3051 W Maple Loop Dr Ste 210, Lehi, UT
- 750 N Freedom Blvd, Provo, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
104100000X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah