Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 66548 | WI |
Y | 207VE0102X | Reproductive Endocrinologist | 11265757-1205 | UT |
NPI | 1508253436 |
---|---|
Provider Name | Lauren Verrilli |
First Address | Salt Lake City, UT 84132-2209 |
Second Address | Salt Lake City, UT 84132-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2015 |
Last Update Date | 20/12/2021 |