Healthcare Provider Details

I. General information

NPI: 1891058392
Provider Name (Legal Business Name): SARAH LAMOREAUX PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7259 S BINGHAM JUNCTION BLVD
MIDVALE UT
84047-4860
US

IV. Provider business mailing address

7259 S BINGHAM JUNCTION BLVD ATTN: MARATHON HEALTH
MIDVALE UT
84047
US

V. Phone/Fax

Practice location:
  • Phone: 801-930-4350
  • Fax:
Mailing address:
  • Phone: 801-930-4350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8337158-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: