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Organization

LORI C. NOVICH-WELTER, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORI NOVICH-WELTER M.D. (OWNER)
(435) 792-9400
Entity
Organization

Contact information

Practice address
267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 792-9400
(435) 792-4800
Mailing address
267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 792-9400
(435) 792-4800

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5924248
UT
208100000X
Physical Medicine & Rehabilitation Physician
M-10473
ID

Other

Enumeration date
02/15/2012
Last updated
01/16/2014
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