LISA DORIUS RN NPI 1568538841

NPI Information

NPI: 1568538841
Provider Name: LISA DORIUS, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
151 S UNIVERSITY AVE # 1900
PROVO, UT
ZIP 84601
Phone: (801) 851-7047
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Lisa Dorius, RN is a community health registered nurse in Provo, UT. Lisa Dorius, RN NPI is 1568538841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 S UNIVERSITY AVE # 1900
PROVO, UT
ZIP 84601-427
Phone: (801) 851-7047
Fax: (801) 785-6682

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	197042-3102	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	73-00012	OTHER	UTAH	UNITED HEALTH CARE #
2	55102	OTHER	UTAH	PEHP PROVIDER #
3	103003506102	OTHER	UTAH	SELECT HEALTH PROVIDER#
4	QM0000039389	OTHER	UTAH	ALTIUS PROVIDER #
5	PR00489	MEDICAID	UTAH
6	998877660009	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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