Lythgoe, Todd Dale
Lythgoe, Todd Dale is an individual health care provider with primary practice located at 1560 Renaissance Towne Dr Suite 210, Bountiful UT 84010-7680. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lythgoe, Todd Dale can be contacted via phone (801) 397-6100.Contact Information
Primary practice address
1560 Renaissance Towne Dr Suite 210
Bountiful UT 84010-7680
Phone: (801) 397-6100
Fax: (801) 397-6101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 8092052-1206 | Utah |
Profile Details
| NPI number | 1477571065 |
|---|---|
| LBN Legal business name | Lythgoe, Todd Dale |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 17th, 2017 - 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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