Provider Demographics
NPI:1659045201
Name:LYONS, CAITLIN LOUISE DUNN (NP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:LOUISE DUNN
Last Name:LYONS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8541 S REDWOOD RD STE C2
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-9323
Mailing Address - Country:US
Mailing Address - Phone:801-432-7712
Mailing Address - Fax:
Practice Address - Street 1:8541 S REDWOOD RD STE C2
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-9323
Practice Address - Country:US
Practice Address - Phone:801-432-7712
Practice Address - Fax:866-817-1629
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9123140-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily