NPI 1881055168

Lucky Iye

Practitioner Home Health Aide Salt Lake City, UT

Practice location

Address: 175 S Main St STE 500, Salt Lake City, UT 84111-1927
Phone: (801) 856-3174

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 9710753-0151 (UT)

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Registry record

NPI: 1881055168
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2016
Record last updated: 14 Mar 2016

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.