NPI 1003530429

Lisa Marie Hanson, NP

Practitioner Adult Medicine Physician South Jordan, UT

Practice location

Address: 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009-5852
Phone: (801) 661-6052

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 5984518-4405 (UT)

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Registry record

NPI: 1003530429
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2022
Record last updated: 29 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.