Dr LAURIE L FAJARDO is a female medical professional, specializing in Diagnostic Radiology. She graduated in 1984 from University Of Chicago, Pritzker School Of Medicine.
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY
UT
841320100
Tel: 8015853229
| Npi | 1033107982 |
| Pac Id | 6901909886 |
| Professional Enrollment Id | I20160223002170 |
| Last Name | FAJARDO |
| First Name | LAURIE |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Group Practice Pac Id | 0941525273 |
| Number Of Group Practice Members | 1231 |
| Line 1 Street Address | 50 N MEDICAL DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 841320100 |
| Phone Number | 8015853229 |
| Hospital Affiliation Ccn 1 | 460009 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Hospital Affiliation Ccn 2 | 060015 |
| Hospital Affiliation Lbn 2 | CENTURA HEALTH-ST ANTHONY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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