Johnson, David Lyle

Johnson, David Lyle is an individual health care provider with primary practice located at 5169 S Cottonwood St Suite 510, Murray UT 84107-6767. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, David Lyle can be contacted via phone (801) 507-3513.

Contact Information

Primary practice address
5169 S Cottonwood St Suite 510 Murray UT 84107-6767
Phone: (801) 507-3513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5314229-8002 Utah
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5314229-8002 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5314229-1206 Utah

Profile Details

NPI number 1326248022
LBN Legal business name Johnson, David Lyle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jun 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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