Individual
DR. BONNIE J LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
554 S 800 E, SLC, UT 84102-2931
(801) 557-4595
(801) 596-8080
Mailing address
PO BOX 2106, SANDY, UT 84091-2106
(801) 557-4595
(801) 596-8080
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1711891205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790779106
—
UT
Enumeration date
08/31/2005
Last updated
02/11/2009
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