Organization
SL ANESTHESIA
Active
Organization
SL ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LESUEUR (DNP, FNP-C, CRNA)
(801) 893-2463
Entity
Organization
Contact information
Practice address
445 E 200 S STE 140, SALT LAKE CITY, UT 84111-2143
(801) 893-2463
Mailing address
445 E 200 S STE 140, SALT LAKE CITY, UT 84111-2143
(801) 893-2363
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5188629-4406
UT
Other
Enumeration date
12/04/2014
Last updated
11/21/2025
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