Individual
LEA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 N 2000 W STE F2, WEST POINT, UT 84015-8777
(385) 430-8400
(385) 430-8401
Mailing address
PO BOX 100925, ATLANTA, GA 30384-0925
(801) 771-7771
(833) 643-2775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5184594-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
5184594-4405
UT
Other
Enumeration date
09/22/2022
Last updated
04/19/2023
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