Individual
RAELYN M. LORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132-0001
(801) 581-2272
Mailing address
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132-0001
(801) 581-2272
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13000189-1205
UT
207P00000X
Emergency Medicine Physician
Primary
2024024972
MO
Other
Enumeration date
03/29/2021
Last updated
08/16/2024
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