Individual provider · Type 1 NPI

Lydia Harris Knowlton

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1104449248 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104449248

Lydia Harris Knowlton's National Provider Identifier is 1104449248, issued on May 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on May 23, 2020.