LAWRENCE DIXON

SALT LAKE CITY, UT
NPI1023048634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: UT  209300-4405)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
Mr. LAWRENCE DIXON APRN
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Mr. LAWRENCE DIXON APRN
3821 SUNNYDALE DR
SALT LAKE CITY, UT 84109-3501
Phone number: