Individual
DR. MICHAEL H LORSCHEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2476 N UNIVERSITY PKWY, PROVO, UT 84604-3868
(801) 377-0990
(801) 373-3361
Mailing address
2476 N UNIVERSITY PKWY, PROVO, UT 84604-3868
(801) 377-0990
(801) 373-3361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
UT 2412
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044568
MEDICAID DELTA DENTAL
UT
Enumeration date
10/10/2006
Last updated
08/18/2015
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