Individual
MS. LORI DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
324 10TH AVE STE 154, SALT LAKE CITY, UT 84103-2876
(801) 408-8666
(801) 322-0567
Mailing address
324 10TH AVE STE 154, SALT LAKE CITY, UT 84103-2876
(801) 408-8666
(801) 322-0567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1002411206
UT
Other
Enumeration date
07/08/2006
Last updated
02/19/2008
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