OrganizationActive
Lorena Cannon LLC
NPI 1235721879 · Clinic/Center · Sandy, UT
Provider details
- NPI number
- 1235721879
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lorena Cannon, Owner / Provider(208) 351-5458
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
893 E 9400 S
Sandy, UT 84094-3671
Phone: (385) 335-7862
Street-level locationGet directions
Mailing address
893 E 9400 S
Sandy, UT 84094-3671
Other names (DBA / former)
- Doing business as
- Peachtree Medical Care, LLC
- Doing business as
- Peachtree Medical Clinic
Registry dates
- Enumerated
- 2021-02-04
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.