Individual
LUCINDA L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
807 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84102-1339
(801) 746-0776
(801) 746-0775
Mailing address
PO BOX 932, SANDY, UT 84091-0932
(801) 746-0776
(801) 553-9562
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
202296-4405
UT
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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