| Benjamin Grant Lauritzen, MD | |
|
15 S 1000 E Ste 200, Payson, UT 84651-5592 | |
| (801) 465-2800 | |
| (801) 465-4770 |
| Full Name | Benjamin Grant Lauritzen |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 15 S 1000 E Ste 200, Payson, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659537850 | NPI | - | NPPES |
| 870549057 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 80037461205 (Utah) | Secondary |
| 208000000X | Pediatrics | 125055456 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Grant Lauritzen, MD 15 S 1000 E Ste 200, Payson, UT 84651-5592 Ph: (801) 465-2800 | Benjamin Grant Lauritzen, MD 15 S 1000 E Ste 200, Payson, UT 84651-5592 Ph: (801) 465-2800 |
Dr. Jonathan Paul Peterson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 S 1000 E, Suite 200, Payson, UT 84651 Phone: 801-465-2800 Fax: 801-465-4770 | |
Dr. Garron E Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 S Medical Dr, Suite 50, Payson, UT 84651 Phone: 801-465-2235 Fax: 801-377-6811 | |
Dr. David Shawn Bush, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 S 1000 E Ste 100, Payson, UT 84651 Phone: 801-822-2988 | |
Michael Fullmer, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 S 1000 E, Suite 200, Payson, UT 84651 Phone: 801-465-2800 | |
Gary L. Behrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1172 E 100 N Ste 2, Payson, UT 84651 Phone: 801-465-4877 Fax: 801-465-4879 |