Individual
NGA LORI LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 MARIO CAPECCHI DR SALT LAKE CITY UT 84132, SALT LAKE CITY, UT 84132-0001
(801) 671-3101
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7011071-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7011071-8900
UT
Other
Enumeration date
08/24/2016
Last updated
11/18/2021
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