Individual
LORI MICHELLE MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2432 VICTORIAN DR, RIVERTON, UT 84065-3102
(801) 631-5039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264157
MA
163W00000X
Registered Nurse
Primary
288190-3102
UT
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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