Individual
DR. CARL GORDON LESUEUR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1178 DRAPER PKWY, DRAPER, UT 84020
(801) 553-9691
(801) 571-4288
Mailing address
1178 E DRAPER PKWY, DRAPER, UT 84020-9095
(801) 553-9691
(801) 571-4288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7416390-1202
UT
Other
Enumeration date
08/21/2009
Last updated
10/11/2012
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