Dorius, Lisa

Dorius, Lisa is an individual health care provider with primary practice located at 151 S University Ave # 1900 , Provo UT 84601-4427. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Dorius, Lisa can be contacted via phone (801) 851-7047.

Contact Information

Primary practice address
151 S University Ave # 1900 Provo UT 84601-4427
Phone: (801) 851-7047
Fax: (801) 785-6682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 197042-3102 Utah

Profile Details

NPI number 1568538841
LBN Legal business name Dorius, Lisa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568538841 NPPES
Utah Other 103003506102 SELECT HEALTH PROVIDER#
Utah Other 55102 SELECT HEALTH PROVIDER#
Utah MEDICAID PR00489 SELECT HEALTH PROVIDER#
Utah Other QM0000039389 SELECT HEALTH PROVIDER#
Utah MEDICAID 998877660009 SELECT HEALTH PROVIDER#
Utah Other 73-00012 SELECT HEALTH PROVIDER#

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