Individual
LYNETTE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5848 FASHION BLVD, MURRAY, UT 84107-6121
(801) 314-4100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 865-8062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
211218-4405
UT
Other
Enumeration date
01/31/2008
Last updated
08/06/2015
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