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Koraima Morel Tirado
General Practice Physician in Lehi, Utah
NPI 1154973576

Koraima Morel Tirado is a General Practice Physician based in Lehi, UT. Koraima Morel Tirado practices in Lehi, UT. The NPI Number for Koraima Morel Tirado is 1154973576 and holds a License No. 87863 (Utah).

The current practice location address for Koraima Morel Tirado is 1035 W 190 S, Lehi, UT and can be reached out via phone at 252-292-0037.

Location: 1035 W 190 S, Lehi, UT, 84043-3833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154973576
Provider Name
Koraima Morel Tirado
Credential
Provider Entity Type
Individual
Gender
Female
Address
1035 W 190 S, Lehi, UT, 84043-3833
Phone Number
252-292-0037
Fax Number
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227885472 01 UT DRIVERS LIC.
institution
Provider Business Practice Location Address Details
Address
1035 W 190 S
City
Lehi
State
Utah
Zip
84043-3833
Phone Number
252-292-0037
Fax Number
person
Provider Business Mailing Address Details
Address
1035 W 190 S
City
Lehi
State
Utah
Zip
84043-3833
Phone Number
252-292-0037
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
87863 ()
Definition
Definition to come...
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