LISA MARIE STODDARD

MURRAY, UT
NPI1184294878
Former NameLISA MARIE WAGNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  8705381-4405)
Enumeration Date2021-06-25
Last Update Date2021-08-17
Business Address
LISA MARIE STODDARD APRN
5171 S COTTONWOOD ST STE 210
MURRAY, UT 84107-5718
Phone number: 801-507-3380
Mailing Address
LISA MARIE STODDARD APRN
5179 W NOKASIPPI LN
SOUTH JORDAN, UT 84009-6123
Phone number: 720-201-3640
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