Lawrence, Blake
Lawrence, Blake is an sole proprietor health care provider with primary practice located at 2100 W Pleasant Grove Blvd Ste 270 , Pleasant Grove UT 84062-3375. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Lawrence, Blake can be contacted via phone (208) 316-9539.Contact Information
Primary practice address
2100 W Pleasant Grove Blvd Ste 270
Pleasant Grove UT 84062-3375
Phone: (208) 316-9539
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 12078815-4405 | Utah |
Profile Details
| NPI number | 1902314289 |
|---|---|
| LBN Legal business name | Lawrence, Blake |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2018 |
| Last updated | Jan 26th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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