Individual
LORIE LYNN DESVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 647-6076
Mailing address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 647-6076
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
07/03/2023
Last updated
04/28/2026
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