Healthcare Provider Details

I. General information

NPI: 1336904747
Provider Name (Legal Business Name): LORRI ZENONI DRPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORRI CASTRO DRPH

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 02/15/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2468 E BEAGLE DR
SANDY UT
84092-3339
US

IV. Provider business mailing address

2468 E BEAGLE DR
SANDY UT
84092-3339
US

V. Phone/Fax

Practice location:
  • Phone: 909-534-8547
  • Fax:
Mailing address:
  • Phone: 909-534-8547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: