| Jennifer Clark Lawson, CRNA | |
|
2055 N Main St, Tooele, UT 84074-9819 | |
| (509) 474-3131 | |
| Not Available |
| Full Name | Jennifer Clark Lawson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2055 N Main St, Tooele, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912160649 | NPI | - | NPPES |
| 220495-4406 | Other | UT | UTAH STATE LICENSE |
| AP60028754 | Other | WA | WASHINGTON STATE LIC |
| Entity Name | Desert Peak Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Entity Name | Utah Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235626417 PECOS PAC ID: 4486993862 Enrollment ID: O20190301000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Clark Lawson, CRNA 2055 N Main St, Tooele, UT 84074-9819 Ph: (435) 843-3600 | Jennifer Clark Lawson, CRNA 2055 N Main St, Tooele, UT 84074-9819 Ph: (509) 474-3131 |
Matthew A. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St., Tooele, UT 84074 Phone: 435-843-3600 | |
Robin B. Bradshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Annette S Proctor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Christopher David Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-8543 | |
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 |