Drew Kenner Lambourne PA-C

NPI 1184930786 - Physician Assistant - 363AS0400X

NPI Details
NPI 1184930786
Gender Male
Enumeration Date 08/20/2010
Last Updated 08/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1055 N 500 W
SUITE 121
PROVO UT, 84604-3305, US
Phone (801) 373-7350
Fax
Business Location
1055 N 500 W
PROVO UT, 84604-3305, US
Phone (801) 354-8225
Fax (801) 429-8150
Toxanomy
Taxonomy Code 363AS0400X
License State Utah
License Number 7738614-1206
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According to our database, Drew Kenner Lambourne PA-C NPI is 1184930786, taxonomy code is 363AS0400X and license number is 7738614-1206, license state is located at Utah. Drew Kenner Lambourne PA-C physically located at 1055 N 500 W, Provo UT, 84604-3305. NPI Number Drew Kenner Lambourne PA-C has the Individual type.

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1184930786 NPI number is provided on an as is basis without warranty of any kind. 1184930786 is maintained by the National Plan & Provider Enumeration System. The contents of Drew Kenner Lambourne PA-C are for informational purposes only.