Bruce Lee
NPI #1134518210 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1134518210
- Entity Type
- Individual
- Name
- Bruce Lee
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 13, 2015
- Last Updated
- Jan 13, 2015
Practice Location
- Address
- 344 E 100 S STE 301
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84111-1727
- Phone
- (801) 322-4257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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