LISA MICONI-CORREA

OGDEN, UT
NPI1376830414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  200854-4408)
Enumeration Date2011-07-08
Last Update Date2017-01-18
Business Address
-- LISA MICONI-CORREA FNP
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-479-7771
Mailing Address
-- LISA MICONI-CORREA FNP
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-479-7771
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