Healthcare Provider Details

I. General information

NPI: 1922912989
Provider Name (Legal Business Name): DANIEL LUEKENGA FRAME RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 WASHINGTON BLVD STE A
SOUTH OGDEN UT
84403-1988
US

IV. Provider business mailing address

3945 WASHINGTON BLVD STE A
SOUTH OGDEN UT
84403-1988
US

V. Phone/Fax

Practice location:
  • Phone: 801-479-4105
  • Fax: 801-584-2590
Mailing address:
  • Phone: 801-479-4105
  • Fax: 801-584-2590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number269619-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: