Individual
MARLIESE LOVELEI LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8211 W 3500 SO, MAGNA, UT 84044
(801) 250-9638
(801) 250-3204
Mailing address
5580 SUNNY PEAK CIR, SALT LAKE CITY, UT 84118
(801) 502-4222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60858481206
UT
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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