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Contact Information

LUCUS C CHRISTOFFERSEN, NP
4403 HARRISON BLVD STE 2815
OGDEN, UT84403-3326
 Phone: 801-387-7880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LUCUS C CHRISTOFFERSEN · (Male)

NPI Number 1629685177
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/29/2020
Last updated 02/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 7367561-4405
Hospital affiliation(s)
  • INOVA FAIRFAX HOSPITAL - (Acute Care)
    8110 GATEHOUSE ROAD, 400 WEST
    FALLS CHURCH, VA 22042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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