Individual
TRAVIS ROGER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
3927 W 4200 N, BENSON, UT 84335-9769
(435) 720-7556
Mailing address
3927 W 4200 N, BENSON, UT 84335-9769
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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