Laurence S Burdett MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

3404331205 Issued in UT

Legal business name

LAURENCE S BURDETT MD PC

Practice address

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149

Phone

(801) 392-0385

Fax

(801) 393-3334

NPI assigned

Aug 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurence S Burdett, MD

Title

Owner

Phone

(801) 458-2073

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1386010098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020837",
            "telephone_number": "801-392-0402",
            "fax_number": "801-393-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WASHINGTON BLVD STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014149",
            "telephone_number": "801-392-0385",
            "fax_number": "801-393-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE S BURDETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "BURDETT",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-458-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "3404331205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsey Lauritsen
• Andrea Lauritzen, LCSW
• Lavallee Corporation
• Jeff A Lavallee
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• Anesthesiology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.