NPI 1053401646 · live from the CMS NPI Registry
Lucy Dana Dewitt, MD
Psychiatry & Neurology, Neurology in Salt Lake City, UT. National Provider Identifier 1053401646, active.
NPI record
| NPI | 1053401646 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 50 N Medical Dr, Salt Lake City, UT 84132 |
| Practice phone | 801-585-6387 |
| Mailing address | Po Box 413027, Salt Lake City, UT 84141 |
| Enumerated | October 13, 2006 |
| Last updated | April 7, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 5718212-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.