Israelsen, Lora

Israelsen, Lora is an individual health care provider with primary practice located at 6405 Old Main Hill , Logan UT 84322-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Israelsen, Lora can be contacted via phone (435) 797-4200.

Contact Information

Primary practice address
6405 Old Main Hill Logan UT 84322-0001
Phone: (435) 797-4200
Fax: (844) 308-5865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 13456930-2501 Utah
Behavioral Health & Social Service Providers / Clinical 103TC0700X 13456930-2501 Utah

Profile Details

NPI number 1841973930
LBN Legal business name Israelsen, Lora
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 2023 - about 3 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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