Individual provider · Type 1 NPI

Lareita Leavitt Berky

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1245879956 Active

Practice location

299 E 900 S
Provo, UT 84606-6107

Call (801) 852-3779 Map

Mailing address

1462 Mountain View Dr
Spanish Fork, UT 84660-2702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245879956

Lareita Leavitt Berky's National Provider Identifier is 1245879956, issued on Dec 27, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Dec 27, 2019.