# LORI C. NOVICH-WELTER, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336412733
- **Authorized official:** DR. LORI NOVICH-WELTER M.D. (OWNER)
- **Authorized official phone:** (435) 792-9400

## Contact information

- **Practice address:** 267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
- **Practice address phone:** (435) 792-9400
- **Practice address fax:** (435) 792-4800
- **Mailing address:** 267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
- **Mailing address phone:** (435) 792-9400
- **Mailing address fax:** (435) 792-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5924248 | UT | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | M-10473 | ID | — |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 01/16/2014