Laura Burgher Fisher, MD

Individual provider Active NPI Psychiatry Physician · Providence, UT

NPI 1720722002 · NPPES record last updated Apr 23, 2022

Key facts

NPI
1720722002
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
176880-1205 (UT)
Practice address
1590 Canyon Rd
Providence, UT 84332-9431
Phone
(435) 753-4016
Fax
(435) 792-3101
NPI assigned
Apr 23, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
176880-1205UTMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X 176880-1205 UT Yes

Addresses

Primary practice location

1590 Canyon Rd
Providence, UT 84332-9431

Mailing address

1590 Canyon Rd
Providence, UT 84332-9431
Phone (435) 753-4016

Electronic endpoints

TypeEndpointUseAffiliation
Other URL DrLBFisher.com Direct

Other providers in Providence, UT

All providers in Providence, UT · Psychiatry Physician in Utah

Sources for this page

Verify at the official NPI Registry.