Individual
SARAH JANE LAMOREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
196 E 2000 N, TOOELE, UT 84074-9335
(619) 347-5693
Mailing address
196 E 2000 N, TOOELE, UT 84074-9335
(619) 347-5693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8337158-1206
UT
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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