Individual
DIANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1886 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 756-5288
(801) 756-5289
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
163W00000X
Registered Nurse
220011-3102
UT
176B00000X
Midwife
Primary
220011-4402
UT
Other
Enumeration date
11/20/2014
Last updated
11/27/2023
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