Lonnie Paulos Md Pc

LBN: Lonnie Paulos Md Pc
Lonnie Paulos Md Pc is an health care organization with primary practice located at 324 East 10Th Avenue Ste 172, Salt Lake City UT 84103-3184. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Lonnie Paulos Md Pc can be contacted via phone (801) 476-9200, or through Paulos, Leon E via phone (801) 476-9200.

Contact Information

Primary practice address
324 East 10Th Avenue Ste 172 Salt Lake City UT 84103-3184
Phone: (801) 476-9200
Fax: (801) 476-9208
Website:
Map and Directions
Authorized official contact:
Name: Paulos, Leon E Doctor of Medicine (MD)
Phone: (801) 476-9200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 1570611205 Utah

Profile Details

NPI number 1811265044
LBN Legal business name Lonnie Paulos Md Pc
DBA Doing business as
Authorized official Paulos, Leon E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2011
Last updated Dec 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811265044 NPPES
Other 07051946 OWNERS DOB

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