Individual
KEISA M LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 E 1400 N STE K, LOGAN, UT 84341-2450
(435) 755-6061
(435) 755-6091
Mailing address
550 E 1400 N STE K, LOGAN, UT 84341-2450
(435) 755-6061
(435) 755-6091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5226005-4408
UT
Other
Enumeration date
07/23/2008
Last updated
11/18/2021
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