Individual
LEZETTE RUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4640 S 5675 W, HOOPER, UT 84315-3400
(801) 391-4610
Mailing address
4640 S 5675 W, HOOPER, UT 84315-3400
(801) 391-4610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8325803-4405
UT
363LP2300X
Primary Care Nurse Practitioner
8325803-4405
UT
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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