Micah Lawrence, PA-C

NPI #1982988176 in Slc, Utah

Provider Information

NPI Number: 1982988176
Entity Type: Individual
Name: Micah Lawrence, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 5, 2011
Last Updated: Aug 6, 2015

Practice Location

Address: 100 N MARIO CAPECCHI DR
City: Slc
State: Utah
ZIP Code: 84113-1103
Phone: (801) 662-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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