Individual
LORI CERAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W 200 S STE 142, SALT LAKE CITY, UT 84101-1337
(801) 433-2595
(801) 521-0872
Mailing address
230 W 200 S STE 142, SALT LAKE CITY, UT 84101-1337
(801) 433-2595
(801) 521-0872
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005344
—
UT
Enumeration date
09/09/2019
Last updated
09/09/2019
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