Individual
NOELLE TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 N 1200 E, LEHI, UT 84043-5862
(801) 418-0920
(801) 418-0921
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13646775-1205
UT
207N00000X
Dermatology Physician
MD200507
OR
Other
Enumeration date
08/18/2016
Last updated
05/16/2024
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