Individual
MARJOLEIN LISETTE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT217201
PA
207RI0011X
Interventional Cardiology Physician
Primary
14216914-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/20/2019
Last updated
04/23/2025
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