LORENA CANNON LLC is a clinic center in Sandy, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LORENA CANNON LLC NPI is 1235721879. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Peachtree Medical Care, Llc.
The provider's business location address is:
893 E 9400 S
SANDY, UT
ZIP 84094-671
Phone: (385) 335-7862
The provider's authorized official is Lorena Cannon .
The authorized official title is Owner / Provider and has the following contact phone number (208) 351-5458.
The enumeration date for this NPI number is 2/4/2021 and was last updated on 3/8/2021.