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 NumberSpecializationStateStatus
4942578-4405 UtahPrimary
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, UTAcute Care Hospital
(460049)Murray, UTAcute 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.