Individual
LANE BART CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3021
(801) 475-3031
Mailing address
3667 N 200 E, NORTH OGDEN, UT 84414-2626
(801) 391-0408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5911408-4405
UT
Other
Enumeration date
02/28/2012
Last updated
06/01/2021
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