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Organization
LUCIA SCOTT ALTAMIRANO MD CORP
Active
Organization
LUCIA SCOTT ALTAMIRANO MD CORP
Active
Other names
NEUROLOGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA ALTAMIRANO MD (PRESIDENT)
(801) 229-1054
Entity
Organization
Contact information
Practice address
3685 N 100 E, SUITE A, PROVO, UT 84604-4594
(801) 229-1054
Mailing address
3685 N 100 E, SUITE A, PROVO, UT 84604-4594
(801) 229-1054
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5019133-1205
UT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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