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Search › Utah › 374U00000X

Lucky Iye

NPI 1881055168 · on the registry since 2016

Practice

Address
175 S Main St Ste 500
Salt Lake City, UT 84111
Phone
(801) 856-3174
Organisation at this address
Wallace Stegner Academy
Addiction Recovery Services
City Center Psychology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah