Individual
LUCAS SCOTT HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE. 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
3291 S 4440 W, WEST VALLEY CITY, UT 84120-1844
(505) 629-9912
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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