Individual
JAMISON GEORGE LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1438 E MAIN ST, LEHI, UT 84043-3814
(801) 753-7999
Mailing address
1438 E MAIN ST, LEHI, UT 84043-3814
(801) 886-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11326739-9934
UT
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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