BENJAMIN GRANT LAURITZEN M.D. NPI 1659537850

NPI Information

NPI: 1659537850
Provider Name: BENJAMIN GRANT LAURITZEN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
15 S 1000 E STE 200
PAYSON, UT
ZIP 84651
Phone: (801) 465-2800
Get Directions

Benjamin Grant Lauritzen, M.D. is a pediatrics in Payson, UT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Benjamin Grant Lauritzen, M.D. NPI is 1659537850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 S 1000 E STE 200
PAYSON, UT
ZIP 84651-592
Phone: (801) 465-2800
Fax: (801) 465-4770

The enumeration date for this NPI number is 8/6/2008 and was last updated on 7/18/2022.

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
1	208000000X	Pediatrics		80037461205	UTAH	No
2	208000000X	Pediatrics		125055456	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	870549057	MEDICAID	UTAH

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: 4/28/2024

NPI Synchronization or Removal

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