Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samara D. Lazernick, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1659532307

Samara D. Lazernick, MD is an Obstetrics/Gynecology in Tooele, Utah. Graduated from Eastern Virginia Medical School in 2008, 18 years ago. Practices with Tooele Clinic Corp, a 64-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
18
Trained at
Eastern Virginia Medical School
Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

196 E 2000 N Ste 104
Tooele, UT 84074
Phone: (435) 843-2576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 8229754-1205 (UT)

Record details

NPI number1659532307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESJanuary 3, 2019
Mailing address196 E. 2000 N., Suite 104, Tooele, UT 84074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Group practice Tooele Clinic Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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