Individual provider · Type 1 NPI

Laurie Melissa Centeno, PAC

Physician Assistant · Provo, UT

NPI number 1093088445 Active

Practice location

1157 N 300 W Ste 201
Provo, UT 84604-6124

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8099494-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093088445

Laurie Melissa Centeno, PAC's National Provider Identifier is 1093088445, issued on Feb 15, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Aug 22, 2016.