Provider Demographics
NPI:1396068342
Name:WILSON, LINDSAY HELENA (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:HELENA
Last Name:WILSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3845 WEST 4700 SOUTH
Mailing Address - Street 2:IHC TAYLORSVILLE CLINIC
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129
Mailing Address - Country:US
Mailing Address - Phone:801-840-2000
Mailing Address - Fax:801-840-2179
Practice Address - Street 1:3845 WEST 4700 SOUTH
Practice Address - Street 2:INTERMOUNTAIN HEALTHCARE TAYLORSVILLE CLINIC
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129
Practice Address - Country:US
Practice Address - Phone:801-840-2000
Practice Address - Fax:801-840-2179
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT7771633-1205207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology