Provider Demographics
NPI:1730939943
Name:APPLEGATE, LORINDA
Entity type:Individual
Prefix:
First Name:LORINDA
Middle Name:
Last Name:APPLEGATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 N 500 E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1614
Mailing Address - Country:US
Mailing Address - Phone:385-208-7281
Mailing Address - Fax:
Practice Address - Street 1:581 W 1600 N STE B
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-2571
Practice Address - Country:US
Practice Address - Phone:801-473-3963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker