Lori Decker P.A.

NPI 1710910252 - Physician Assistant - 363A00000X

NPI Details
NPI 1710910252
Gender Female
Enumeration Date 07/08/2006
Last Updated 02/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
324 10TH AVE STE 154
SALT LAKE CITY UT, 84103-2876, US
Phone (801) 408-8666
Fax (801) 322-0567
Business Location
324 10TH AVE STE 154
SALT LAKE CITY UT, 84103-2876, US
Phone (801) 408-8666
Fax (801) 322-0567
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 1002411206
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According to our database, Ms. Lori Decker P.A. NPI is 1710910252, taxonomy code is 363A00000X and license number is 1002411206, license state is located at Utah. Lori Decker P.A. physically located at 324 10th Ave Ste 154, Salt Lake City UT, 84103-2876. NPI Number Lori Decker P.A. has the Individual type.

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1710910252 NPI number is provided on an as is basis without warranty of any kind. 1710910252 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Decker P.A. are for informational purposes only.