Individual
LINDA YOUNG LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, APRN
Contact information
Practice address
100 N MEDICAL DR STE 3400, SLC, UT 84113-1103
(801) 588-3650
Mailing address
100 N MEDICAL DR STE 3400, SLC, UT 84113-1103
(801) 588-3650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203089-4405
UT
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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