Individual
LYNN R WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3838 S 700 E, STE 200, SALT LAKE CITY, UT 84106-1466
(801) 261-4988
(801) 269-9427
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
161058-1205
UT
208VP0000X
Pain Medicine Physician
Primary
161058-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05657
—
UT
Enumeration date
07/12/2005
Last updated
12/10/2009
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