Lisa M Anderson MD

NPI 1083679989 - Emergency Medicine - 207P00000X

NPI Details
NPI 1083679989
Gender Female
Enumeration Date 04/20/2006
Last Updated 10/29/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 SNOW CREEK DR
PARK CITY UT, 84060-7372, US
Phone (435) 655-0055
Fax (435) 655-8979
Business Location
PO BOX 95970
SOUTH JORDAN UT, 84095-0970, US
Phone (801) 352-9500
Fax (801) 352-9502
Toxanomy
Taxonomy Code 207P00000X
License State Utah
License Number 4842000-1205
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According to our database, Lisa M Anderson MD NPI is 1083679989, taxonomy code is 207P00000X and license number is 4842000-1205, license state is located at Utah. Lisa M Anderson MD physically located at 1600 Snow Creek Dr, Park City UT, 84060-7372. NPI Number Lisa M Anderson MD has the Individual type.

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1083679989 NPI number is provided on an as is basis without warranty of any kind. 1083679989 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Anderson MD are for informational purposes only.