Healthcare Provider Details

I. General information

NPI: 1154249514
Provider Name (Legal Business Name): LAURA ASTURIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 S COTTONWOOD ST
MURRAY UT
84107-5704
US

IV. Provider business mailing address

2327 E LINDSAY WOOD LN
SANDY UT
84092-7268
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-9555
  • Fax:
Mailing address:
  • Phone: 801-358-6090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number7786971-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: