Blake Lawrence
NPI #1902314289 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1902314289
- Entity Type
- Individual
- Name
- Blake Lawrence
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 20, 2018
- Last Updated
- Jan 26, 2024
Practice Location
- Address
- 2100 W PLEASANT GROVE BLVD STE 270
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-3375
- Phone
- (208) 316-9539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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