Lorena Cannon LLC
Lorena Cannon LLC is a Clinic/Center in Sandy, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
893 E 9400 SSandy, UT 84094-3671
Phone: (385) 335-7862
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1235721879 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lorena Cannon — Owner / Provider · (208) 351-5458 |
| Other names | Peachtree Medical Care, Llc; Peachtree Medical Clinic |
| NPI enumerated | February 4, 2021 |
| Last updated in NPPES | March 8, 2021 |
| Certification date | March 8, 2021 |
| Mailing address | 893 E 9400 S, Sandy, UT 84094-3671 |
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