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Organization
MONOVO LLC
Active
Organization
MONOVO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYSON WADE LEWIS RN (DIRECTOR OF CLINICAL OPERATIONS)
(801) 380-4462
Entity
Organization
Contact information
Practice address
2578 W 600 N STE 201, LINDON, UT 84042-1260
(801) 896-9868
(801) 823-6337
Mailing address
2578 W 600 N STE 201, LINDON, UT 84042-1260
(801) 896-9868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/08/2023
Last updated
02/26/2025
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