NPI 1629699517
Collin Owen Lamborn
Practice location
- Address
- 90 E 200 N, Logan, UT 84321-4034
- Phone
- (435) 764-0874
- Mailing address
- 940 N 500 E, Logan, UT 84321-3446
Registered specialties
Basic Emergency Medical Technician
Primary
Registry record
- NPI
- 1629699517
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 May 2020
- Record last updated
- 1 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.