Healthcare Provider Details

I. General information

NPI: 1457291767
Provider Name (Legal Business Name): FRANCISCO ALTAMIRANO LAMARQUE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANCISCO ALTAMIRANO MD

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 S MARIO CAPECCHI DR
SALT LAKE CITY UT
84132-0005
US

IV. Provider business mailing address

275 S 200 E UNIT 617
SALT LAKE CITY UT
84111-3184
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2352
  • Fax:
Mailing address:
  • Phone: 617-849-4108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: