Lynnette Sue Fuller in Salt Lake City - Physician Assistant
Lynnette Sue Fuller - NPI 1598890444
Lynnette Sue Fuller is a Physician Assistant in Salt Lake City, Utah. Lynnette Sue Fuller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lynnette Sue Fuller is 1598890444. The last update date is 2021-12-17.
Lynnette Sue Fuller's current location address is 295 Chipeta Way, Salt Lake City, Utah. You can contact this provider via phone number 8012133599 and fax number 8015877539. The mailing address for Lynnette Sue Fuller is 295 Chipeta Way, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynnette Sue Fuller |
|---|---|
| Address | 295 Chipeta Way, Salt Lake City, Utah |
| Phone Number | 8012133599 |
| Fax Number | 8015877539 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1598890444 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 295 Chipeta Way |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841081220 |
| Phone Number | 8012133599 |
| Fax Number | 8015877539 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4553606-1206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Lynnette Sue Fuller by the Centers for Medicare & Medicaid Services?
The Lynnette Sue Fuller has been issued the NPI (National Provider Identifier) 1598890444 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Lynnette Sue Fuller's physical address?
The Lynnette Sue Fuller is physically located at 295 Chipeta Way, in the city of Salt Lake City, UT, with the postal code 841081220.
What is Lynnette Sue Fuller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lynnette Sue Fuller's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598890444 to Lynnette Sue Fuller?
The Centers for Medicare & Medicaid Services originally issued the 1598890444 to Lynnette Sue Fuller on 2007-02-22.
When was the information regarding Lynnette Sue Fuller most recently updated?
The details pertaining to the Lynnette Sue Fuller, including its address, specialty, and other relevant information, were last refreshed on 2021-12-17.
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