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Individual

EMILY LAILHENGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1159 E 200 N STE 300, AMERICAN FORK, UT 84003-2037
(801) 357-7530
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN82463
NM
363L00000X
Nurse Practitioner
Primary
10744317-4405
UT
363LF0000X
Family Nurse Practitioner
10744317-4405
UT

Other

Enumeration date
07/18/2017
Last updated
04/16/2024
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