Individual
BRENT WELLS LAMBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 W 800 N STE 100, OREM, UT 84057-6301
(801) 354-8225
(801) 418-0941
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11837358-1204
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
11837358-1204
UT
Other
Enumeration date
03/18/2019
Last updated
08/15/2023
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