Individual
CHRISTY LAN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 585-2341
Mailing address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11096385-1206
UT
Other
Enumeration date
01/09/2019
Last updated
11/18/2021
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