Doctor Name: | MR. LYNN LOFTIN |
NPI Number: | 1023321502 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 139450-6004 |
Business Practice Address: | 31 E 1600 N Spanish Fork, UT - 846601011 |
Business Phone Number: | 8013619917 |
Business Fax Number: | 8017988949 |
Mailing Address: | 1279 S 1250 E, SPANISH FORK |
State: | UT |
Postal Code: | 846605970 |
Phone Number: | 8013619917 |
Fax Number: | 8017988949 |
NPI Enumeration Date: | 07/26/2010 |
NPI Last Update Date: | 07/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 139450-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |