Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lea D Hedstrom, PA-C

Individual provider Physician Assistant · NPI 1952656738

Lea D Hedstrom, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3090
Fax: (801) 475-3089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8361980-1206 (UT)

Record details

NPI number1952656738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESJanuary 17, 2017
Mailing addressPo Box 5546, Denver, CO 80217-5546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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