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1407844046

NPI Code Detail

MEDICARE: LAURA LYNN SELLS MD

MEDICARE: LAURA LYNN SELLS MD

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
1	208000000X	Pediatrics Physician	6185229-1205	UT
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	6185229-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407844046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LYNN SELLS MD

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9450 S 1300 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-5555
Country	:	US
Telephone Number	:	801-501-9933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	07/24/2024

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Directions to “ LAURA LYNN SELLS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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