Individual
BRYAN PETER LORENZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11522 S 4055 W, SOUTH JORDAN, UT 84009-6074
(801) 903-3643
Mailing address
11522 S 4055 W, SOUTH JORDAN, UT 84009-6074
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10205478-1701
UT
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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