Individual
SUSAN M LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1105 W 1000 N, SLC, UT 84116-2135
(801) 364-2434
(801) 364-2436
Mailing address
3054 E 3900 S, SLC, UT 84124-2042
(801) 274-2262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215651-4405
UT
Other
Enumeration date
07/25/2006
Last updated
09/10/2008
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