Lisa Croudy APC

NPI 1114251121 - Counselor - 101YP2500X

NPI Details
NPI 1114251121
Gender Female
Enumeration Date 09/23/2009
Last Updated 12/08/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
450 S 900 E STE 300
SALT LAKE CITY UT, 84102-3064, US
Phone (801) 534-7906
Fax
Business Location
4268 SHIRLEY LN
SALT LAKE CITY UT, 84124-3057, US
Phone (801) 534-7906
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Utah
License Number 7630789-6009
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According to our database, Ms. Lisa Croudy APC NPI is 1114251121, taxonomy code is 101YP2500X and license number is 7630789-6009, license state is located at Utah. Lisa Croudy APC physically located at 450 S 900 E Ste 300, Salt Lake City UT, 84102-3064. NPI Number Lisa Croudy APC has the Individual type.

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1114251121 NPI number is provided on an as is basis without warranty of any kind. 1114251121 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Croudy APC are for informational purposes only.