Individual
DERIK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
7596 S 2480 W, WEST JORDAN, UT 84084-3825
(801) 613-0041
Mailing address
7596 S 2480 W, WEST JORDAN, UT 84084-3825
(801) 613-0041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6033331-4405
UT
Other
Enumeration date
04/14/2025
Last updated
04/19/2025
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