La Belle Vie Medical Care and Aesthetics

NPI #1639592611 in Draper, Utah

Provider Information

NPI Number
1639592611
Entity Type
Organization
Organization Name
La Belle Vie Medical Care and Aesthetics
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 28, 2014
Last Updated
Jan 28, 2014

Practice Location

Address
248 E 13800 S
Address 2
SUITE 3
City
Draper
State
Utah
ZIP Code
84020-5010
Phone
(801) 987-8384

Authorized Official

Name
KELLY LANCE, NP
Title
CEO
Phone
(801) 987-8384

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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