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Individual

STACY LESUEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C, CRNA

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) 893-2463

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5188629-4405
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
5188629-4406
UT

Other

Enumeration date
02/09/2011
Last updated
11/21/2025
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