Individual
LYNAE CLARK SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
470 E 3900 S STE 200, SALT LAKE CITY, UT 84107-2332
(801) 747-2800
Mailing address
8124 S COPPER CANYON WAY, WEST JORDAN, UT 84081-1700
(801) 554-9986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9413500-4405
UT
Other
Enumeration date
04/26/2022
Last updated
07/01/2022
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