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Individual

DANIEL LEWIS MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4877 N RAVENCREST LN, LEHI, UT 84048-7723
(801) 348-7172
(833) 972-4809
Mailing address
4877 N RAVENCREST LN, LEHI, UT 84048-7723
(801) 348-7172
(435) 986-7092

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8620638-4405
UT

Other

Enumeration date
08/19/2020
Last updated
03/28/2026
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