Healthcare Provider Details

I. General information

NPI: 1174418842
Provider Name (Legal Business Name): KAREN S LONSDALE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 S 160 W
AMERICAN FORK UT
84003-4257
US

IV. Provider business mailing address

887 S 160 W
AMERICAN FORK UT
84003-4257
US

V. Phone/Fax

Practice location:
  • Phone: 801-209-2195
  • Fax:
Mailing address:
  • Phone: 801-209-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5253062-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: