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Shawn L Hazen

  • Male

Medical Specialty

Professional ID

  • NPI: 1265719876
  • PECOS ID: 4981991866
  • Enrollment ID: I20160920002135
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2013

Medical Practices

  • Organization Name: Lotus Center Inc
  • Group Practice ID assigned by PECOS: 4284923491
  • Number of Group Practice member: 7

Location

  • Address1: 348 E 4500
  • Address2: Suite 360
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84107
  • Phone Number: (385)272-4292

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):