Blake Lawrence
Blake Lawrence is a Nurse Practitioner in Pleasant Grove, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2018
Practice location Address checks out
2100 W Pleasant Grove Blvd Ste 270Pleasant Grove, UT 84062-3375
Phone: (208) 316-9539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 12078815-4405 (UT) |
|---|
Record details
| NPI number | 1902314289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2018 |
| Last updated in NPPES | January 26, 2024 |
| Certification date | November 30, 2023 |
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