STACEY LAKE, NP
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1154003473
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 5641317-4405 (UT) |
| Nurse Practitioner | 363L00000X | No | 5641317-4405 (UT) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 5641317-4405 (UT) |
Frequently Asked Questions
NPI 1154003473 is the National Provider Identifier for STACEY LAKE, NP, a Nurse Practitioner - Primary Care provider located in Holladay, UT. This NPI was enumerated on August 4, 2023.
STACEY LAKE, NP practices at 999 E MURRAY HOLLADAY RD STE 207, Holladay, UT 84117.
Quick Facts
- NPI
- 1154003473
- Type
- Individual
- Enumerated
- Aug 4, 2023
- Last Updated
- Jan 22, 2025
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