BLAKE LAWRENCE

PLEASANT GROVE, UT
NPI1902314289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  12078815-4405)
Enumeration Date2018-01-20
Last Update Date2024-01-26
Business Address
BLAKE LAWRENCE
2100 W PLEASANT GROVE BLVD STE 270
PLEASANT GROVE, UT 84062-3375
Phone number: 208-316-9539
Mailing Address
BLAKE LAWRENCE
634 S 1870 W
OREM, UT 84059-4963
Phone number: 208-316-9539
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