Individual
DR. LANCE S LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5448 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5901
(801) 501-7180
Mailing address
5448 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8409616-1701
UT
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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