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1982988176
MICAH LAWRENCE
SLC, UT
NPI
1982988176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8110172-1206)
Enumeration Date
2011-10-05
Last Update Date
2015-08-06
Business Address
-- MICAH LAWRENCE PA-C
100 N MARIO CAPECCHI DR
SLC, UT 84113-1103
Phone number: 801-662-4000
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Mailing Address
-- MICAH LAWRENCE PA-C
1584 HARVARD AVE
SALT LAKE CITY, UT 84105-1726
Phone number: 406-671-2272
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