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Search › Utah › 363L00000X

Laney Wallace

NPI 1447127188 · on the registry since 2025

Practice

Address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113
Phone
(801) 662-4000
Organisation at this address
Tellica Imaging, Llc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Additional practice sites

  • 3851 E Haystack St Apt A105, Boise, ID
  • 2250 N Miller Campus Dr, Lehi, UT

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah