Individual
MR. SHANNON DAY LOREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1055 N 500 W, SUITE 202, PROVO, UT 84604-3305
(801) 374-2367
(801) 429-8015
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 429-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP15320
CA
363LF0000X
Family Nurse Practitioner
Primary
7483839-4405
UT
Other
Enumeration date
06/23/2006
Last updated
01/14/2011
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