Individual provider · NPI-1

Dr. Suzanne Lee, M.D.

Family Medicine · Brigham City, UT

NPI number1962660969
StatusActive
Last updated in NPPESSep 9, 2022

Details

NPI
1962660969
Entity type
Individual (NPI-1)
Name
Dr. Suzanne Lee
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 27, 2008
Certification date
Sep 9, 2022
Last updated
Sep 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine8088255-1205UTYes
207Q00000X Family MedicineM-10750ID

Practice location

980 S 500 W Ste 1
Brigham City, UT 84302-3094

Phone 435-723-8276 · Fax 877-497-4661

Mailing address

2621 S 3270 W Ste 110
West Valley City, UT 84119-1119

Phone 385-261-2614 · Fax 877-497-4661

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