IndividualActive
Luke Fenlon, MD
NPI 1568090900 · Internal Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1568090900
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12404277-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 4c116
Salt Lake City, UT 84132-0002
Phone: (801) 585-3580
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 4c116
Salt Lake City, UT 84132-0002
Additional practice locations (1)
- Carle Forum Lower Level, Mc-474611 West Park StreetUrbana, IL 61801Phone: (217) 333-5465
Registry dates
- Enumerated
- 2020-03-31
- Last updated
- 2021-09-16
- Certified
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.