Individual
VYCTORIA MADDISON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
632 W 1460 S, SPANISH FORK, UT 84660-6118
(801) 362-9391
Mailing address
632 W 1460 S, SPANISH FORK, UT 84660-6118
(801) 362-9391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12210195
UT
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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