Individual
ROBERT STANLEY LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
802 S 200 W, BLANDING, UT 84511-3910
(801) 931-7013
Mailing address
802 S 200 W, BLANDING, UT 84511-3910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11144168-8906
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701369289
—
UT
Enumeration date
02/05/2019
Last updated
01/04/2021
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