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Lisa Marie Gravelle, MD
Obstetrics & Gynecology Physician in Salt Lake City, Utah
NPI 1821028820

Lisa Marie Gravelle is a Obstetrics & Gynecology Physician based in Salt Lake City, UT. Lisa Marie Gravelle practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Lisa Marie Gravelle is 1821028820 and holds a License No. 5640031-1205 (Utah).

The current practice location address for Lisa Marie Gravelle is 333 S 900 E, Salt Lake City, UT and can be reached out via phone at 801-535-8163 and via fax at 801-355-4011.

Location: 333 S 900 E, Salt Lake City, UT, 84102-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821028820
Provider Name
Lisa Marie Gravelle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
333 S 900 E, Salt Lake City, UT, 84102-2310
Phone Number
801-535-8163
Fax Number
801-355-4011
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
333 S 900 E
City
Salt Lake City
State
Utah
Zip
84102-2310
Phone Number
801-535-8163
Fax Number
801-355-4011
person
Provider Business Mailing Address Details
Address
333 S 900 E
City
Salt Lake City
State
Utah
Zip
84102-2310
Phone Number
801-535-8163
Fax Number
801-355-4011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5640031-1205 (Utah)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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