Lori Decker in Salt Lake City - Physician Assistant

Lori Decker - NPI 1710910252

Lori Decker is a Physician Assistant in Salt Lake City, Utah. Lori Decker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lori Decker is 1710910252. The last update date is 2008-02-19.

Lori Decker's current location address is 324 10th Ave Ste 154, Salt Lake City, Utah. You can contact this provider via phone number 8014088666 and fax number 8013220567. The mailing address for Lori Decker is 324 10th Ave Ste 154, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori Decker
Address 324 10th Ave Ste 154, Salt Lake City, Utah
Phone Number 8014088666
Fax Number 8013220567
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1710910252
Provider Enumeration Date 2006-07-08
Last Updated Date 2008-02-19

Provider Mailing Address Detail

Address 324 10th Ave Ste 154
City Salt Lake City
State Utah (UT)
Post Code 841032876
Phone Number 8014088666
Fax Number 8013220567

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1002411206
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Lori Decker

What is the unique provider identifier assigned to Lori Decker?

The Lori Decker has been issued the NPI (National Provider Identifier) 1710910252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Lori Decker's facilities are geographically located?

The facilities of Lori Decker are physically situated at the following location: 324 10Th Ave Ste 154, Salt Lake City, UT, 841032876.

What is Lori Decker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lori Decker is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Lori Decker receive its 1710910252 assignment from the Centers for Medicare & Medicaid Services?

The Lori Decker was assigned its 1710910252 by the Centers for Medicare & Medicaid Services on 2006-07-08.

When was the information pertaining to Lori Decker most recently updated or revised?

The details related to Lori Decker, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-19.

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