Dr. Jeffrey R Lish
Family Doctor
984 Medical Dr Ste 1
Brigham City
, Utah 84302-4712
Dr. Jeffrey R Lish
Family Doctor
984 Medical Dr Ste 1
Brigham City
, Utah 84302-4712
(435) 723-5240
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Jeffrey R Lish
- 984 Medical Dr Ste 1
- Brigham City, UT
- Zip : 84302-4712
- Fax : (435) 723-5240
- Phone : (435) 723-5248
Second Address
- Dr. Jeffrey R Lish
- 984 Medical Dr Ste 1
- Brigham City, UT
- Zip : 84302-4712
- Fax : (877) 395-5866
- Phone : (435) 723-5248
Reviews
FAQs
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Is Dr. Jeffrey R Lish a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 178575-1205 | UT |
National Provider Identifier
| NPI | 1003848797 |
|---|---|
| Provider Name | Dr. Jeffrey R Lish |
| First Address | Brigham City, UT 84302-4712 |
| Second Address | Brigham City, UT 84302-4712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 13/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 870282100012 | (05) | UT |
| D87682 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.