Individual
LORI R SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3336 S 4155 W STE 306, WEST VALLEY CITY, UT 84120-2045
(801) 964-3855
(801) 964-3860
Mailing address
3336 S 4155 W STE 306, WEST VALLEY CITY, UT 84120-2045
(801) 964-3855
(801) 964-3860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58645451205
UT
Other
Enumeration date
07/05/2006
Last updated
11/15/2011
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