Individual provider · Type 1 NPI

Lydia Leavitt, MD

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

NPI number 1508552498 Active

Practice location

1250 E 3900 S Ste 260
Slc, UT 84124-1371

Call (801) 265-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNONE (UT)

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 1508552498

Lydia Leavitt, MD's National Provider Identifier is 1508552498, issued on Apr 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Slc, UT. The record was last updated on Jul 22, 2025.