Provider Demographics
NPI:1972617678
Name:BARLOW, LEHI SAMUEL (DO)
Entity type:Individual
Prefix:DR
First Name:LEHI
Middle Name:SAMUEL
Last Name:BARLOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 NORTH HILDALE STREET
Mailing Address - Street 2:
Mailing Address - City:HILDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84784-0459
Mailing Address - Country:US
Mailing Address - Phone:435-874-2217
Mailing Address - Fax:435-874-7817
Practice Address - Street 1:1065 NORTH HILDALE STREET
Practice Address - Street 2:
Practice Address - City:HILDALE
Practice Address - State:UT
Practice Address - Zip Code:84784-0459
Practice Address - Country:US
Practice Address - Phone:435-874-2217
Practice Address - Fax:435-874-7817
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT378894-1204207Q00000X
AZ3265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ436544OtherAHCCCS
UT200558OtherIHC
UT870561710001Medicaid
UT005522601Medicare ID - Type UnspecifiedMADICARE
UT870561710001Medicaid