| Doctor Name: | MR. LEWIS LELAND BOONE |
| NPI Number: | 1134208051 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 115588-3501 |
| Business Practice Address: | 954 E North Union Ave B-204 Midvale, UT - 840471765 |
| Business Phone Number: | 8017481442 |
| Business Fax Number: | 8015631026 |
| Mailing Address: | 3215 Alta Hills Dr, SANDY |
| State: | UT |
| Postal Code: | 840932111 |
| Phone Number: | 8019439759 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 115588-3501 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |