Organization
C L CAMBELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA LAPERLE (OFFICE MANAGER)
(435) 654-4192
Entity
Organization
Contact information
Practice address
728 W 100 S STE 1, HEBER CITY, UT 84032-3764
(435) 654-4192
(435) 654-4067
Mailing address
728 W 100 S STE 1, HEBER CITY, UT 84032-3764
(435) 654-4192
(435) 654-4067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
852049924405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528867559-002
—
UT
Enumeration date
08/20/2010
Last updated
08/20/2010
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