Lisa Mortensen MS ATC

NPI 1770643975 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1770643975
Gender Female
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
405 S 100 E STE 102
Phone (801) 785-9991
Fax (801) 785-9417
Business Location
1915 W 140 S
OREM UT, 84058-2062, US
Phone (801) 812-2736
Taxonomy Code 2255A2300X
License State Utah
License Number 6332468-4810
Remove 1770643975 NPI Number

According to our database, Mrs. Lisa Mortensen MS ATC NPI is 1770643975, taxonomy code is 2255A2300X and license number is 6332468-4810, license state is located at Utah. Lisa Mortensen MS ATC physically located at 405 S 100 E Ste 102, Pleasant Grove UT, 84062-2751. NPI Number Lisa Mortensen MS ATC has the Individual type.

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1770643975 NPI number is provided on an as is basis without warranty of any kind. 1770643975 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Mortensen MS ATC are for informational purposes only.