Search › Utah › 363LP2300X
Stacey Lake, NP
NPI 1154003473 · on the registry since 2023
Practice
- Address
- 999 E Murray Holladay Rd Ste 207
Holladay, UT 84117 - Phone
- (801) 268-2584
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 363LF0000X
363L00000X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah