Stacey Mills Lake, NP

NPI #1154003473 in Holladay, Utah

Provider Information

NPI Number
1154003473
Entity Type
Individual
Name
Stacey Mills Lake, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Credential
NP
Enumeration Date
Aug 4, 2023
Last Updated
Jan 22, 2025

Practice Location

Address
999 E MURRAY HOLLADAY RD STE 207
State
Utah
ZIP Code
84117-5093
Phone
(801) 268-2584

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner
Nurse Practitioner - Primary CarePrimary Care

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