Lauritzen, Benjamin Grant

Lauritzen, Benjamin Grant is an sole proprietor health care provider with primary practice located at 15 S 1000 E Ste 200 , Payson UT 84651-5592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lauritzen, Benjamin Grant can be contacted via phone (801) 465-2800.

Contact Information

Primary practice address
15 S 1000 E Ste 200 Payson UT 84651-5592
Phone: (801) 465-2800
Fax: (801) 465-4770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 80037461205 Utah
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125055456 Illinois

Profile Details

NPI number 1659537850
LBN Legal business name Lauritzen, Benjamin Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Jul 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659537850 NPPES
Utah MEDICAID 870549057

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