LORIN LEITHEAD

EAGLE MOUNTAIN, UT
NPI1164852745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  312206-4405)
Enumeration Date2013-11-19
Last Update Date2023-11-27
Business Address
Mr. LORIN LEITHEAD APRN
4095 E PONY EXPRESS PKWY SUITE 1
EAGLE MOUNTAIN, UT 84005-5529
Phone number: 801-429-8037
Mailing Address
Mr. LORIN LEITHEAD APRN
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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