Individual
LYNN C LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
984 MEDICAL DR STE 1, BRIGHAM CITY, UT 84302-4712
(435) 723-5248
(435) 723-5240
Mailing address
984 MEDICAL DR STE 1, BRIGHAM CITY, UT 84302-4712
(435) 723-5248
(435) 723-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2141144405
UT
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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