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BENGT CHRISTIAN LOCK NP-C
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1497417919
Individual Registrant:
BENGT CHRISTIAN LOCK NP-C
Gender: M
Sole Proprietor
Location and contact information for practice:
1043 W DANDY CIR BLUFFDALE, UT 84065-1638 US
Tel: 801-931-9083 Fax: --
Contact information for business:
1043 W DANDY CIR BLUFFDALE, UT 84065-1638 US
Tel: 801-931-9083 Fax: --
Registration Information:
NPI: 1497417919
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
| UT | 8869304-4405 |
Legacy codes, insurance codes and state license numbers:
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