Individual
LEE FUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6000
Mailing address
1238 E 150 S, LINDON, UT 84042-2184
(208) 761-3622
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5036356-4406
UT
367500000X
Certified Registered Nurse Anesthetist
RNA695
ID
Other
Enumeration date
08/07/2007
Last updated
06/04/2020
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