Most Relevant Information
Provider Data
| NPI Number: | 1003443276 |
| Provider Name: | LILLIAN B. BOETTCHER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | 12419681-1205 |
Most Important Dates
| Enumeration Date: | 03/26/2020 |
| Last Updated: | 09/20/2021 |
Provider Practice Location
30 N 1900 E RM 2B200
SALT LAKE CITY
UT
841320002
Practice Location Phone/Fax
| Phone: | 8015817647 |
| Fax: |
Provider Mailing Location
30 N 1900 E RM 2B200
SALT LAKE CITY
UT
841320002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
OBGYN EMR