Individual
PAUL KNORR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4095 E PONY EXPRESS PKWY, STE 1, EAGLE MOUNTAIN, UT 84005-5529
(801) 429-8037
(801) 753-7476
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
363LF0000X
Family Nurse Practitioner
Primary
6708885-4405
UT
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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