person
Spencer Lee Lake
Family Nurse Practitioner in Bountiful, Utah
NPI 1932869377

Spencer Lee Lake is a Family Nurse Practitioner based in Bountiful, UT and is specialized in Family. Spencer Lee Lake practices in Bountiful, UT. The NPI Number for Spencer Lee Lake is 1932869377 and holds a License No. 6342236-4405 (Utah).

The current practice location address for Spencer Lee Lake is 557 W 2600 S, Bountiful, UT and can be reached out via phone at 801-298-9155 and via fax at 801-298-9156. You can also correspond with Spencer Lee Lake through the mailing address at 557 W 2600 S, BOUNTIFUL, UT - 84010-7717 (mailing address contact number: 801-298-9155).

Location: 557 W 2600 S, Bountiful, UT, 84010-7717
person
Provider Profile Details
NPI Number
1932869377
Provider Name
Spencer Lee Lake
Credential
Provider Entity Type
Individual
Gender
Male
Address
557 W 2600 S, Bountiful, UT, 84010-7717
Phone Number
801-298-9155
Fax Number
801-298-9156
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
557 W 2600 S
City
State
Zip
84010-7717
Phone Number
801-298-9155
Fax Number
801-298-9156
person
Provider Business Mailing Address Details
Address
557 W 2600 S
City
State
Zip
84010-7717
Phone Number
801-298-9155
Fax Number
801-298-9156
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
6342236-4405 (Utah)
Definition
Definition to come...
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