Lawliss, Kathleen
Lawliss, Kathleen is an individual health care provider with primary practice located at 1200 E 3900 S , Salt Lake City UT 84124-1300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Lawliss, Kathleen can be contacted via phone (801) 268-7975.Contact Information
Primary practice address
1200 E 3900 S
Salt Lake City UT 84124-1300
Phone: (801) 268-7975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 374573-1205 | Utah |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 374573-1205 | Utah |
Profile Details
| NPI number | 1255397691 |
|---|---|
| LBN Legal business name | Lawliss, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | May 4th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255397691 | NPPES |
| Utah | MEDICAID | D3250 |
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