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NPI Code Detail

MEDICARE: MRS. LYNDSIE THOMPSON PA-C, MPAS

MEDICARE: MRS. LYNDSIE THOMPSON PA-C, MPAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant95289731206UT

General Provider Information

NPI Number : 1306215017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNDSIE THOMPSON PA-C, MPAS
Provider Business Mailing Address
First Line : 4000 S 700 E STE 10
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-2580
Country : US
Telephone Number : 801-268-4141
Fax Number :
Provider Business Practice Location Address
First Line : 4000 S 700 E
Second Line : SUITE 10
City : SALT LAKE CITY
State : UT
Zip : 84107-2180
Country : US
Telephone Number : 801-268-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2015
Last Update Date : 11/23/2015

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Directions to “ MRS. LYNDSIE THOMPSON PA-C, MPAS” Practice Location

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