Doctor Name: | DR. LINDSEY WYNONA NORTH |
NPI Number: | 1992073118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | |
Business Practice Address: | 1477 N 2000 W Suite E Clinton, UT - 840158638 |
Business Phone Number: | 8016145866 |
Business Fax Number: | 8018251162 |
Mailing Address: | Po Box 95970, SOUTH JORDAN |
State: | UT |
Postal Code: | 840950970 |
Phone Number: | 8006588556 |
Fax Number: | 8013529502 |
NPI Enumeration Date: | 12/02/2011 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |