Doctor Name: | LAMIA BORIC |
NPI Number: | 1689881898 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0116017613 |
Business Practice Address: | 5131 S Cottonwood St Ste L2 Murray, UT - 841075701 |
Business Phone Number: | 8012633416 |
Business Fax Number: | 8012633428 |
Mailing Address: | 1121 E 3900 S, Ste C230 SALT LAKE CITY |
State: | UT |
Postal Code: | 841241214 |
Phone Number: | 8012629494 |
Fax Number: | 8012072234 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116017613 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |