Lorena Cannon LLC
Clinic/Center · Sandy, UT
Practice location
893 E 9400 SSandy, UT 84094-3671
- Phone
- (385) 335-7862
NPI record
- NPI
- 1235721879
- Entity type
- Organization (Type 2)
- Enumeration date
- February 4, 2021
- Last updated
- March 8, 2021
- Certified
- March 8, 2021
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X |
— | — |
| Nurse Practitioner | 363L00000X |
— | — |
Authorized official
- Name
- Lorena Cannon, APRN
- Title
- Owner / Provider
- Phone
- (208) 351-5458
Other names
- Peachtree Medical Care, LLC
- Peachtree Medical Clinic
About Lorena Cannon LLC
Lorena Cannon LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 893 E 9400 S, Sandy, UT 84094-3671. The NPI number 1235721879 was assigned on February 4, 2021 and the record was last updated on March 8, 2021.
The authorized official for this organization is Lorena Cannon, APRN, Owner / Provider.
Frequently asked questions
What is the NPI number of Lorena Cannon LLC?
The NPI number is 1235721879.
What is the phone number of Lorena Cannon LLC?
The phone number listed for the practice location is (385) 335-7862.
Where is Lorena Cannon LLC located?
893 E 9400 S, Sandy, UT 84094-3671.
What is the taxonomy code for Lorena Cannon LLC?
The primary taxonomy code is 261Q00000X – Clinic/Center; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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