Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spencer Lee Lake

Individual provider Family Nurse Practitioner · NPI 1932869377

Spencer Lee Lake is a Nurse Practitioner in Bountiful, Utah. Qualified in 2021, 5 years ago. Practices with Joshua Oaks MD PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021

Practice location Address checks out

557 W 2600 S
Bountiful, UT 84010-7717
Phone: (801) 298-9155
Fax: (801) 298-9156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6342236-4405 (UT)

Record details

NPI number1932869377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 27, 2021
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Joshua Oaks Md Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful