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Individual

JOHN THOMAS LUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
395 W COUGAR BLVD STE 401, PROVO, UT 84604-3338
(801) 357-7546
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14209313-1205
UT

Other

Enumeration date
03/30/2020
Last updated
11/12/2025
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