IndividualActive
Laura Mann, M.D.
NPI 1043638562 · Neuroradiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1043638562
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036.167893 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-2140
Phone: (801) 581-2766
Approximate (ZIP-level) locationGet directions
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Additional practice locations (2)
- 530 Ne Glen Oak AvePeoria, IL 61637-2140Phone: (309) 655-2000
- 601 Elmwood AveBox SurgRochester, NY 14642-0001Phone: (585) 275-8762
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.