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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA LAUREN MADERT HERZOG, MD

Active

MRS. JESSICA LAUREN MADERT HERZOG, MD is a General Practice healthcare provider located in LEHI, Utah. NPI 1912035221 is currently active in the NPPES registry. Verify at CMS.

General Practice · LEHI, UT

Registration Details

NPI Number
1912035221
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2007 (19.433062044331 yrs)
Last Updated
Feb 18, 2022
Licenses
8450572-1205 (UT)
MD449593 (PA)
MD449593 (PA)
8450572-1205 (UT)

Practice Information

Address
3397 N 1200 E STE 103
LEHI, UT, 840433262
Browse UT providers · Browse ZIP 84043
Phone
8017970877
Fax
8012908141
Primary Specialty
General Practice
208D00000X
Additional Specialty
Pediatrics
Additional Specialty
General Practice
Additional Specialty
General Practice

Other General Practice Providers in LEHI, UT

Name Credential NPI
RICHARD B SAMPSON MD 1407030604
CHAD L ROBERTS MD 1952964330
KORAIMA MOREL TIRADO 1154973576
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.