Lara Cooley Portmann
APRN | Nurse Practitioner | 19+ years Exp
8th Ave C St, Salt Lake City
Utah, 84143-0001
801-408-1100
Accepts Medicare Nurse Anesthetist in Salt Lake City, Utah.Lara Cooley Portmann is a Salt Lake City, Utah based nurse practitioner with 19 years of experience in . He completed his graduation in 2006. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lara Cooley Portmann is 4942578-4405 in Utah. His current practice location is 8th Ave C St, Salt Lake City. Patients can reach him at 801-408-1100. Lara Cooley Portmann is APRN and his NPI number (Unique professional ID assigned by NPPES) is 1972669182.
Lara Cooley Portmann has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lara Cooley Portmann speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lara Cooley Portmann |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APRN |
| Experience: | 19+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 8th Ave C St, Salt Lake City, Utah, 84143-0001 |
| Phone: | 801-408-1100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4183720121 |
| Enrollment ID: | I20070508000146 |
| NPI Number: | 1972669182 |
| NPI Enumeration Date: | 29 Dec, 2006 |
| NPI Last Update On: | 18 Mar, 2008 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lara Cooley Portmann are as mentioned below.
| License Number | Specialization | State | Status | |
| 4942578-4405 | | Utah | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (460010) | Murray, UT | Acute Care Hospital |
| (460049) | Murray, UT | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lara Cooley Portmann is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Intermountain Healthcare Services, Inc (1850209420) | 2442 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lara Cooley Portmann Po Box 27128, Salt Lake City, Utah |
| Zip: | 84127-0128 |
| Phone Number: | 801-408-1100 |
Patients can reach Lara Cooley Portmann at
8th Ave C St, Salt Lake City, Utah or can
call to book an appointment on 801-408-1100.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.