Lesli Anne Mortensen

NPI #1942883285 in Provo, Utah

Provider Information

NPI Number: 1942883285
Entity Type: Individual
Name: Lesli Anne Mortensen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 750 N FREEDOM BLVD
City: Provo
State: Utah
ZIP Code: 84601-1677
Phone: (801) 373-9656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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