Individual
LUCY JANE BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
82 S 1100 E, SUITE 200, SALT LAKE CITY, UT 84102-1686
(801) 355-3404
(801) 532-0205
Mailing address
82 S 1100 E, SUITE 200, SALT LAKE CITY, UT 84102-1686
(801) 355-3404
(801) 532-0205
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
54160868905
UT
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
35089561
OH
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
45482
CO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
TP379
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000064118
MEDICARE PTAN
UT
05
—
1932367976
—
UT
Enumeration date
07/10/2007
Last updated
05/03/2013
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