Individual
MELISSA D LONNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8899 S 700 E, SUITE 155, SANDY, UT 84070-1810
(801) 413-7775
(801) 878-7507
Mailing address
8899 S 700 E, SUITE 155, SANDY, UT 84070-1810
(801) 413-7775
(801) 878-7507
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4977471-1206
UT
Other
Enumeration date
07/03/2006
Last updated
09/26/2012
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