Individual
STAYCHA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 673-6131
(435) 673-8557
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5954240-4405
UT
Other
Enumeration date
06/10/2021
Last updated
12/28/2023
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