Individual
MS. LUCE FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9900
Mailing address
7093 S SUSAN WAY, SALT LAKE CITY, UT 84121-3754
(801) 232-2406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1084617
UT
Other
Enumeration date
11/04/2008
Last updated
03/25/2022
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