HANNELE LAINE MD PC NPI 1629376405

NPI Information

  • NPI: 1629376405
  • Provider Name: HANNELE LAINE, MD, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 455 E SOUTH TEMPLE
    STE 202
    SLC, UT
    ZIP 84111
  • Phone: (801) 355-9951

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NPI Details

HANNELE LAINE, MD, PC is a specialist in Slc, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HANNELE LAINE, MD, PC NPI is 1629376405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

455 E SOUTH TEMPLE
STE 202
SLC, UT
ZIP 84111-350
Phone: (801) 355-9951
Fax: (801) 355-9968

The provider's authorized official is Jackie Andersen .
The authorized official title is Office Manager and has the following contact phone number (801) 355-9951.

The enumeration date for this NPI number is 3/3/2011 and was last updated on 3/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist57672111205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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