Individual
LORRAINE P BRIMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 E 750 N, OREM, UT 84097-4345
(801) 852-2273
Mailing address
1350 E 750 N, OREM, UT 84097-4345
(801) 960-8097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10536630-1206
UT
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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