Individual provider · Type 1 NPI

Lydia Russell-Frey

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1568375665 Active

Practice location

10 S 2000 E
Salt Lake City, UT 84112-5880

Call (801) 581-3414 Map

Mailing address

451 N Montgomery St
Salt Lake City, UT 84116-2523

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 1568375665

Lydia Russell-Frey's National Provider Identifier is 1568375665, issued on Sep 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 28, 2026.