Jordan Anthony Lythgoe, P.A.

NPI #1245762806 in Provo, Utah

Provider Information

NPI Number: 1245762806
Entity Type: Individual
Name: Jordan Anthony Lythgoe, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Mar 31, 2017
Last Updated: Oct 3, 2017

Practice Location

Address: 1055 N 300 W STE 205
City: Provo
State: Utah
ZIP Code: 84604-5044
Phone: (801) 374-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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