Provider Demographics
NPI:1376022525
Name:ALAI, LAUREN
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:ALAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 E SHADY CREEK PL
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84106-1547
Mailing Address - Country:US
Mailing Address - Phone:801-440-5149
Mailing Address - Fax:
Practice Address - Street 1:12921 S VISTA STATION BLVD FL 4
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-2376
Practice Address - Country:US
Practice Address - Phone:801-982-4516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8677188-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist