person
Lisa Marie Hanson, NP
Adult Medicine Physician in South Jordan, Utah
NPI 1003530429

Lisa Marie Hanson is an Adult Medicine Physician based in South Jordan, UT and is specialized in Adult Medicine. Lisa Marie Hanson practices in South Jordan, UT and has the professional credentials of NP. The NPI Number for Lisa Marie Hanson is 1003530429 and holds a License No. 5984518-4405 (Utah).

The current practice location address for Lisa Marie Hanson is 4538 W South Jordan Pkwy Unit 110, South Jordan, UT and can be reached out via phone at 801-661-6052.

Location: 4538 W South Jordan Pkwy Unit 110, South Jordan, UT, 84009-5852
person
Provider Profile Details
NPI Number
1003530429
Provider Name
Lisa Marie Hanson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4538 W South Jordan Pkwy Unit 110, South Jordan, UT, 84009-5852
Phone Number
801-661-6052
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4538 W South Jordan Pkwy Unit 110
City
State
Zip
84009-5852
Phone Number
801-661-6052
Fax Number
person
Provider Business Mailing Address Details
Address
4538 W South Jordan Pkwy Unit 110
City
State
Zip
84009-5852
Phone Number
801-661-6052
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
5984518-4405 (Utah)
Definition
Definition to come.
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