Stacey Lake, NP

NURSE PRACTITIONER

12391 S 4000

Riverton, UT 840967012

(801) 302-1700

**NPI:** 1154003473

**Med School:** OTHER

**Experience:** 2 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

GRANGER MEDICAL CLINIC PC

12391 S 4000
Riverton, UT 840967012

Phone: (801) 302-1700

**Group ID:** 3476465691 | **Group Size:** 172 members

GRANGER MEDICAL CLINIC PC

999 E Murray Holladay Rd
Salt Lake City, UT 841174901

Phone: (801) 268-2584

**Group ID:** 3476465691 | **Group Size:** 172 members

GRANGER MEDICAL CLINIC PC

2965 W 3500
West Valley City, UT 841193602

Phone: (801) 965-3600

**Group ID:** 3476465691 | **Group Size:** 172 members

INTERMOUNTAIN MEDICAL CENTER Type: Hospital
5121 SOUTH COTTONWOOD STREET
Phone: (801) 507-7000
Medicare CCN: 460010 View Profile

ST MARK'S HOSPITAL Type: Hospital
1200 EAST 3900 SOUTH
Phone: (801) 268-7111
Medicare CCN: 460047 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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