Individual
LORI A TEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 W 300 N 75-3, ROOSEVELT, UT 84066
(435) 722-3971
(435) 722-6104
Mailing address
PO BOX 238, DUCHESNE, UT 84021-0238
(435) 722-3971
(435) 722-6104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2159994405
UT
Other
Enumeration date
03/31/2006
Last updated
11/10/2016
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