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Contact Information

LARISSA BEYERLEIN, MD
295 CHIPETA WAY
DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE
SALT LAKE CITY, UT84158
 Phone: 801-587-7436
 Fax: 801-587-7455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LARISSA BEYERLEIN · (Female)

NPI # 1902110232
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2010
Last updated 12/16/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 8637381-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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