LISA ANN RUNYON

SALT LAKE CITY, UT
NPI1003091430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT  216679-4405)
Enumeration Date2008-01-03
Last Update Date2008-01-03
Business Address
Mrs. LISA ANN RUNYON CPNP
100 N MEDICAL DR TRAUMA SERVICES
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-2993
Mailing Address
Mrs. LISA ANN RUNYON CPNP
100 N MEDICAL DR TRAUMA SERVICES
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-2993