IndividualActive
Lillian Boettcher, MD
NPI 1003443276 · Obstetrics & Gynecology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1003443276
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 12419681-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 2b200
Salt Lake City, UT 84132-0002
Phone: (801) 581-7647
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 2b200
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.