Organization
LA BELLE VIE MEDICAL CARE AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LANCE NP (CEO)
(801) 987-8384
Entity
Organization
Contact information
Practice address
248 E 13800 S, SUITE 3, DRAPER, UT 84020-5010
(801) 987-8384
(801) 553-9931
Mailing address
248 E 13800 S, SUITE 3, DRAPER, UT 84020-5010
(801) 987-8384
(801) 553-9931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214109-4405
UT
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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