Individual
ANTHONY L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
155 S 300 W, SALT LAKE CITY, UT 84101
(801) 467-6060
(801) 486-3007
Mailing address
155 S 300 W, SALT LAKE CITY, UT 84101
(801) 467-6060
(801) 486-3007
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
365444-4408
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107029322101
INTERMOUNTAIN HEALTH CARE
UT
01
—
261QR0405X
SUBSTANCE ABUSE
UT
01
—
36544444000001
REGENCE BCBS
UT
Enumeration date
12/22/2005
Last updated
11/04/2015
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