Lezli Burt (NPI# 1679752422, PAC ID# 4789901406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1679752422 |
| PAC ID by PECOS | 4789901406 |
| Professional Enrollment ID | I20150317002960 |
| Full Name | Lezli Burt |
| Organization Legal Name | ASPEN RIDGE COUNSELING LLC |
| Address |
2880 W 4700 S G1 Taylorsville UT 84129-2156 |
| Phone Number | 8019904300 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9739302902 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2880 W 4700 S, G1, Taylorsville, UT 84129-2156 | 8019904300 | ASPEN RIDGE COUNSELING LLC |
| 2880 W 4700 S, Taylorsville, UT 84129-2156 | 8019904300 | ASPEN RIDGE COUNSELING LLC |
| Organization Legal Name | ASPEN RIDGE COUNSELING LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris C Hakes | Clinical Social Worker | Aspen Ridge Counseling LLC | 2880 W 4700 S, G1, Taylorsville, UT 84129-2156 |
| Street Address |
2880 W 4700 S G1 |
| City | TAYLORSVILLE |
| State | UT |
| Zip | 84129-2156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris C Hakes | Clinical Social Worker | Aspen Ridge Counseling LLC | 2880 W 4700 S, G1, Taylorsville, UT 84129-2156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Nelson | Chiropractic | 1951 W 4700 S, Suite 2, Taylorsville, UT 84129-1108 | |
| Terry H Martin | Chiropractic | 1951 W 4700, Suite 1, Taylorsville, UT 84129-1108 | |
| Laney Nelson | Chiropractic | Camp4 Human Performance | 1951 W 4700 S, Taylorsville, UT 84129-1108 |
| Terry M Hansen | Optometry | 2828 W 4700, Suite D, Salt Lake City, UT 84129-2154 | |
| Eric J Harrison | Chiropractic | 2828 W 4700, Suite A, Taylorsville, UT 84129-2154 | |
| Tammi Ishimatsu | Clinical Social Worker | 2832 W 4700, Taylorsville, UT 84129-2155 | |
| Wendy M Rusin | Nurse Practitioner | 2907 W Midwest Dr, Taylorsville, UT 84129-2556 | |
| Emilia Fischer | Nurse Practitioner | Santibanez Aguirre PC | 3251 W 5400, Taylorsville, UT 84129-3170 |
| Brian H Ewell | Chiropractic | 2964 W 4700 S, 102 Action Chiropractic, West Valley City, UT 84129-3358 | |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Find all physicians in zip 84129 | |||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | TAYLORSVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lezli Burt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.