# LUCIA SCOTT ALTAMIRANO MD CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** NEUROLOGICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407038409
- **Authorized official:** DR. LUCIA ALTAMIRANO MD (PRESIDENT)
- **Authorized official phone:** (801) 229-1054

## Contact information

- **Practice address:** 3685 N 100 E, SUITE A, PROVO, UT 84604-4594
- **Practice address phone:** (801) 229-1054
- **Mailing address:** 3685 N 100 E, SUITE A, PROVO, UT 84604-4594
- **Mailing address phone:** (801) 229-1054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5019133-1205 | UT | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007