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STACEY LAKE, NP
NP
Primary Care Nurse Practitioner
NPI: 1154003473IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse Practitioner — Primary Care
Code: 363LP2300X
5641317-4405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 999 E MURRAY HOLLADAY RD STE 207
HOLLADAY, UT 84117 - Phone
- (801) 268-2584
Quick Facts
- NPI
- 1154003473
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 3
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