MICAH LAWRENCE

SLC, UT
NPI1982988176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8110172-1206)
Enumeration Date2011-10-05
Last Update Date2015-08-06
Business Address
-- MICAH LAWRENCE PA-C
100 N MARIO CAPECCHI DR
SLC, UT 84113-1103
Phone number: 801-662-4000
Mailing Address
-- MICAH LAWRENCE PA-C
1584 HARVARD AVE
SALT LAKE CITY, UT 84105-1726
Phone number: 406-671-2272