Provider Demographics
NPI:1992139133
Name:SMITH, LINDSEY SMART (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:SMART
Last Name:SMITH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:SMART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3200 W CLUBHOUSE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84048-4325
Mailing Address - Country:US
Mailing Address - Phone:385-273-3376
Mailing Address - Fax:385-243-1536
Practice Address - Street 1:3200 W CLUBHOUSE DR STE 100
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84048-4325
Practice Address - Country:US
Practice Address - Phone:385-273-3376
Practice Address - Fax:385-243-1536
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8774316-1206363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical