Healthcare Provider Details

I. General information

NPI: 1780194712
Provider Name (Legal Business Name): LORRAINE P FRIANT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORRAINE BRIMHALL

II. Dates (important events)

Enumeration Date: 10/04/2017
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 E CENTER ST
RICHFIELD UT
84701-2528
US

IV. Provider business mailing address

90 E CENTER ST
RICHFIELD UT
84701-2528
US

V. Phone/Fax

Practice location:
  • Phone: 435-567-7653
  • Fax: 385-543-3033
Mailing address:
  • Phone: 435-567-7653
  • Fax: 385-543-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10536630-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: