Elyse E Lake, N.P.
NPI #1063721611 in West Jordan, Utah
Provider Information
- NPI Number
- 1063721611
- Entity Type
- Individual
- Name
- Elyse E Lake, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- N.P.
- Enumeration Date
- Sep 30, 2010
- Last Updated
- Dec 5, 2016
Practice Location
- Address
- 3354 W 7800 S
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-4506
- Phone
- (801) 282-2677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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