Doctor Name: | DR. DUREECE LUCILLE LINGWALL |
NPI Number: | 1063638856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 4890977-2401 |
Business Practice Address: | 590 S Wakara Way Salt Lake City, UT - 841081200 |
Business Phone Number: | 8015877005 |
Business Fax Number: | 8015877007 |
Mailing Address: | 590 South Wakara Way, SALT LAKE CITY |
State: | UT |
Postal Code: | 84108 |
Phone Number: | 8015877005 |
Fax Number: | 8015877007 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4890977-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |