ELYSE LAKE, N.P.

N.P.

Family Nurse Practitioner

NPI: 1063721611IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

6168554-8900(UT)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2010

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Contact & Hours

Address: 3354 W 7800 S
WEST JORDAN, UT 84088
Phone: (801) 282-2677

Quick Facts

NPI: 1063721611
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 16

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