Dr LORIN JEROME LEITHEAD is a male medical professional, specializing in Nurse Practitioner. He graduated in 2013.
CENTRAL UTAH CLINIC P C
4095 E PONY EXPRESS PKWY
SUITE 1
EAGLE MOUNTAIN
UT
840055531
Tel: 8014298037
| Npi | 1164852745 |
| Pac Id | 5395969653 |
| Professional Enrollment Id | I20160427001330 |
| Last Name | LEITHEAD |
| First Name | LORIN |
| Middle Name | JEROME |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Group Practice Pac Id | 7517868508 |
| Number Of Group Practice Members | 338 |
| Line 1 Street Address | 4095 E PONY EXPRESS PKWY |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE MOUNTAIN |
| State | UT |
| Zip Code | 840055531 |
| Phone Number | 8014298037 |
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| Professional Accepts Medicare Assignment | Y |
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