IndividualActive
John Lung
NPI 1922636448 · Endocrinology, Diabetes & Metabolism Physician · Provo, UT
Provider details
- NPI number
- 1922636448
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 14209313-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
395 W Cougar Blvd Ste 401
Provo, UT 84604-3338
Phone: (801) 357-7546
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.