SPENCER LEE LAKE

BOUNTIFUL, UT
NPI1932869377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  6342236-4405)
Enumeration Date2021-12-27
Last Update Date2021-12-27
Business Address
SPENCER LEE LAKE
557 W 2600 S
BOUNTIFUL, UT 84010-7717
Phone number: 801-298-9155
Mailing Address
SPENCER LEE LAKE
557 W 2600 S
BOUNTIFUL, UT 84010-7717
Phone number: 801-298-9155
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