Portmann, Lara Cooley

Portmann, Lara Cooley is an individual health care provider with primary practice located at 8Th Ave C St , Salt Lake City UT 84143-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Portmann, Lara Cooley can be contacted via phone (801) 408-1100.

Contact Information

Primary practice address
8Th Ave C St Salt Lake City UT 84143-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4942578-4405 Utah

Profile Details

NPI number 1972669182
LBN Legal business name Portmann, Lara Cooley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Mar 18th, 2008 - about 18 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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