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NPI Code Detail

MEDICARE: DR. NATALIE LANHAM DSW, LCSW

MEDICARE: DR. NATALIE LANHAM DSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1416883501UT

General Provider Information

NPI Number : 1073587309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIE LANHAM DSW, LCSW
Provider Business Mailing Address
First Line : 3145 S IMPERIAL ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3739
Country : US
Telephone Number : 385-222-1936
Fax Number :
Provider Business Practice Location Address
First Line : 2666 S 2000 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-1719
Country : US
Telephone Number : 385-222-1936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 03/19/2021

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