person
Elyse E Lake, NP
Family Nurse Practitioner in West Jordan, Utah
NPI 1063721611

Elyse E Lake is a Family Nurse Practitioner based in West Valley City, UT and is specialized in Family. Elyse E Lake practices in West Jordan, UT and has the professional credentials of NP. The NPI Number for Elyse E Lake is 1063721611 and holds a License No. 6168554-8900 (Utah).

The current practice location address for Elyse E Lake is 3354 W 7800 S, West Jordan, UT and can be reached out via phone at 801-282-2677 and via fax at 801-282-2050.

Location: 3354 W 7800 S, West Jordan, UT, 84128-2610
person
Provider Profile Details
NPI Number
1063721611
Provider Name
Elyse E Lake
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3354 W 7800 S, West Jordan, UT, 84128-2610
Phone Number
801-282-2677
Fax Number
801-282-2050
Provider Enumeration Date
09/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3354 W 7800 S
City
State
Zip
84088-4506
Phone Number
801-282-2677
Fax Number
801-282-2050
person
Provider Business Mailing Address Details
Address
3354 W 7800 S
City
State
Zip
84088-4506
Phone Number
801-282-2677
Fax Number
801-282-2050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
6168554-8900 (Utah)
Definition
Definition to come...
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