Hamilton, Lori C

Hamilton, Lori C is an individual health care provider with primary practice located at 1373 E Cassity Dr , Tooele UT 84074-4107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hamilton, Lori C can be contacted via phone (907) 947-6765.

Contact Information

Primary practice address
1373 E Cassity Dr Tooele UT 84074-4107
Phone: (907) 947-6765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1659 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10332057-1206 Utah

Profile Details

NPI number 1912338872
LBN Legal business name Hamilton, Lori C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Oct 27th, 2022 - about 4 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 1912338872 NPPES
Utah Other 10332057-1206 LICENSE
Utah MEDICAID 1603011 LICENSE
Utah MEDICAID 1912338872 LICENSE

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