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1083679989
LISA M ANDERSON
PARK CITY, UT
NPI
1083679989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: UT 4842000-1205)
Enumeration Date
2006-04-20
Last Update Date
2021-06-11
Business Address
LISA M ANDERSON MD
1600 SNOW CREEK DR
PARK CITY, UT 84060-7372
Phone number: 435-655-0055
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Mailing Address
LISA M ANDERSON MD
PO BOX 198560
ATLANTA, GA 30384-8560
Phone number:
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