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1962405522
LISA BYRD
OGDEN, UT
NPI
1962405522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7973035-1206)
Enumeration Date
2005-05-27
Last Update Date
2023-11-27
Business Address
LISA BYRD P.A.-C.
5896 S RIDGELINE DR SUITE B
OGDEN, UT 84405-6779
Phone number: 801-866-0170
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Mailing Address
LISA BYRD P.A.-C.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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