Lonnie Paulos MD PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

1570611205 Issued in UT

Legal business name

LONNIE PAULOS MD PC

Practice address

324 East 10TH Avenue
Ste 172
Salt Lake City, UT 84103-3184

Phone

(801) 476-9200

Fax

(801) 476-9208

NPI assigned

Dec 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leon E Paulos, MD

Title

President

Phone

(801) 476-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1811265044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 EAST 10TH AVENUE",
            "address_2": "STE 172",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033184",
            "telephone_number": "801-476-9200",
            "fax_number": "801-476-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 EAST 10TH AVENUE",
            "address_2": "STE 172",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033184",
            "telephone_number": "801-476-9200",
            "fax_number": "801-476-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONNIE PAULOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "PAULOS",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-476-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "UT",
            "license": "1570611205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS DOB",
            "identifier": "07051946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Longoria
• Megan Longtain
• Kaohinani Joseph Longwolf, M.D.
• Caleena Longworth, MD
• Natasha Michelle Lonni
• Menno Lont, MD
• Kevin K Loo
• Sydney E. Look, MD
• Meghan Looper
• Evelyn C. Loose

• Sports Medicine (Orthopaedic Surgery) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.