Individual
WILLIAM R LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1954 FORT UNION BLVD STE 114, SALT LAKE CITY, UT 84121-6899
(800) 594-5736
Mailing address
1954 FORT UNION BLVD STE 114, SALT LAKE CITY, UT 84121-6899
(800) 594-5736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
357887-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007099103
IHC
UT
01
—
18939
HEALTHY U
UT
01
—
589575
DESERET MUTUAL
UT
01
—
66103
PEHP
UT
01
—
98357887105001
BCBS
UT
01
—
PRA04311
MOLINA
UT
01
—
QM0000054865
ALTIUS
UT
Enumeration date
09/17/2006
Last updated
07/08/2007
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