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Individual
TRAVIS ROGER LEE
Active
Individual
TRAVIS ROGER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11898403-4405
UT
363LA2100X
Acute Care Nurse Practitioner
11898403-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
09/27/2025
Last updated
08/17/2026
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