NPI 1134518210
Bruce Lee
Practice location
- Address
- 344 E 100 S STE 301, Salt Lake City, UT 84111-1727
- Phone
- (801) 322-4257
- Mailing address
- 344 East 100 South Ste.301, Slc, UT 84111
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1134518210
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jan 2015
- Record last updated
- 13 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.