LISA BYRD

OGDEN, UT
NPI1962405522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  7973035-1206)
Enumeration Date2005-05-27
Last Update Date2023-11-27
Business Address
LISA BYRD P.A.-C.
5896 S RIDGELINE DR SUITE B
OGDEN, UT 84405-6779
Phone number: 801-866-0170
Mailing Address
LISA BYRD P.A.-C.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225