Individual
MR. LAWRENCE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-5609
Mailing address
3821 SUNNYDALE DR, SALT LAKE CITY, UT 84109-3501
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209300-4405
UT
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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