Individual provider · Type 1 NPI

Blake Lyman, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1497184188 Active

Practice location

1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275

Call (801) 261-7479 Map

Fax (801) 261-7429

Mailing address

PO Box 100253
Atlanta, GA 30384-0253

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X9705935-1206 (UT)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497184188

Blake Lyman, PA-C's National Provider Identifier is 1497184188, issued on Nov 4, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 13, 2023.