Meet Our Providers

Dr. Jeff Lee

Dr. Lee is a family medicine specialist with over 30 years of experience in medical care, from rural private practice to consultations in the board rooms of healthcare organizations across the country. He received his medical degree from the Medical College of Wisconsin and completed residency in Family Medicine at the University of Utah.


He takes a friendly, evidence-based approach to primary care, focusing on prevention and long-term wellness. By working collaboratively with patients of all ages across multiple states, he helps make healthy living more achievable and more sustainable. He currently practices in St. George, Utah, volunteers as a Medical Consultant, and serves as an Adjunct Clinical Faculty member at Rocky Vista University.

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Lorraine Spiers, FNP

Lorraine is a board-certified Family Nurse Practitioner (ANCC) from Memphis, Tennessee, with 15 years of nursing experience across academic, suburban, and rural hospitals. She has also worked as a legal nurse consultant supporting medical malpractice defense teams in Memphis and Las Vegas. Lorraine earned her Master of Science in Nursing from Graceland University in Independence, Missouri. As an FNP, she has cared for patients of all ages in Arizona and Tennessee and now practices with Primestin Care, bringing a practical, patient-centered approach to primary care. 

A woman wearing glasses and a black shirt is smiling in a black and white photo.
A black and white photo of a man with a beard wearing a plaid shirt.

Dr. Jayson Malufau

Dr. Malufau is a board-certified family physician with specialized training in wound care and hyperbaric medicine. He has led Wound and Hyperbaric programs as Medical Director in Arizona and Utah and now practices direct primary care with Primestin. A Utah Tech (formerly Dixie State) alumnus, he earned his DO from Touro University Nevada and completed residency at Kingman Regional Medical Center. Raised in Lā‘ie, O‘ahu, his Samoan heritage grounds him in respect and service. The work ethic he brings to medicine was forged on the football field, where he attended Utah Tech on scholarship. Guided by faith and family—he and his wife, Shauna, are raising five children—he offers a compassionate, partnership-based approach and works alongside patients to improve whole-person well-being. 

Primary Care Services

Primary Care Management


  • Diabetes
  • COPD
  • Hypertension
  • Hormones
  • Thyroid
  • Blood pressure
  • Medication
  • Autoimmune
  • Menopause
  • In office lab draws

Preventive Care




  • Wellness exams
  • Well child checks
  • Family planning
  • Weight loss management
  • Lipid management
  • Women's health and paps
  • Missionary and school physicals
  • Gut health testing


Urgent Care




  • Splinting
  • Rapid testing
    (Flu, A&B, RSV, UTI, Pregnancy, Strep, Covid)
  • Sick visits
  • Stitches and staples


About Our St. George Clinic

At Primestin Care, we provide personalized, high-quality healthcare right here in our local clinic in St George, UT. Our team of local providers is dedicated to giving you more time, attention, and the care you need. From routine check-ups, ongoing management of chronic conditions, or face-to-face consultations, our clinic offers a full range of services to keep you on top of your health.

Address:
965 E 700 S, Ste 205, St George, UT 84790

Primary Care Clinic Hours: 
Monday - Friday: 8:00 AM - 6:00 PM


Care Coordination Phone Hours:
Monday - Friday: 7:30AM - 8:30 PM

Closed All Major Holidays