Individual
LYNN DON FALKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(435) 850-9462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104780-1206
UT
Other
Enumeration date
10/13/2006
Last updated
01/30/2014
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