Individual
MICHELLE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 5900 S STE 200, MURRAY, UT 84107-5432
(385) 474-6946
Mailing address
5411 W ROSEMILL DR, RIVERTON, UT 84096-7904
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9021002-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
90210024405
UT
Other
Enumeration date
09/28/2020
Last updated
03/12/2025
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