Individual
LORI BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5620
Mailing address
1047 N BERKSHIRE DR, WASHINGTON, UT 84780-8493
(801) 678-4562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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