IndividualActive
Lawrence Dixon, APRN
NPI 1023048634 · Gerontology Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1023048634
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 209300-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 Foothill Dr
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-5609
Approximate (ZIP-level) locationGet directions
Mailing address
3821 Sunnydale Dr
Salt Lake City, UT 84109-3501
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.