Lmm Wellness LLC

NPI #1740070614 in Draper, Utah

Provider Information

NPI Number: 1740070614
Entity Type: Organization
Organization Name: Lmm Wellness LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 12, 2025
Last Updated: May 14, 2025

Practice Location

Address: 196 W 12300 S STE 105
City: Draper
State: Utah
ZIP Code: 84020-8090
Phone: (617) 694-5173

Authorized Official

Name: DR. GIAVONNI LEWIS, MD
Title: OWNER/MEDICAL DIRECTOR
Phone: (617) 694-5173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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