Individual
KELLY LYNN LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
248 E 13800 S, SUITE 3, DRAPER, UT 84020-5010
(801) 987-8384
Mailing address
248 E 13800 S, SUITE 3, DRAPER, UT 84020-5010
(801) 987-8384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214109-4405
UT
Other
Enumeration date
10/15/2012
Last updated
11/18/2014
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