| Jessica Lagoo, RD | |
|
5450 S Green St, Murray, UT 84123-5632 | |
| (801) 486-4877 | |
| Not Available |
| Full Name | Jessica Lagoo |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 5450 S Green St, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396401980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 12427442-4901 (Utah) | Primary |
| Provider Name | Physician Group Of Utah Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Provider Name | Catholic Health Initiatives Colorado |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lagoo, RD 120 W 1300 S, Salt Lake City, UT 84115-5230 Ph: (801) 486-4877 | Jessica Lagoo, RD 5450 S Green St, Murray, UT 84123-5632 Ph: (801) 486-4877 |
Sarah A Earhart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 181 E Medical Tower Dr, Murray, UT 84107 Phone: 801-314-4500 | |
Carly Alba, Dietitian Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Margaret Smedley, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5063 S Cottonwood St Ste 100, Murray, UT 84107 Phone: 801-507-7038 | |
Avery Reeve, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Mary E. Mahler, RD, CD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, #310, Murray, UT 84107 Phone: 801-314-4500 | |
Alicia Spencer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-6084 | |
Mckenna Jones, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5171 S Cottonwood St Ste 640, Murray, UT 84107 Phone: 801-507-2000 |