LANAE LYNN BURGESS

SALT LAKE CITY, UT
NPI1215790001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  13779955-8019)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
LANAE LYNN BURGESS
1787 E FORT UNION BLVD
SALT LAKE CITY, UT 84121-2850
Phone number: 801-883-8203
Mailing Address
LANAE LYNN BURGESS
551 N 200 E APT 305
PROVO, UT 84606-2738
Phone number: 928-201-9992
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