LISA J SAMSON-FANG

SALT LAKE CITY, UT
NPI1821188442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: UT  360059-1205)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
LISA J SAMSON-FANG MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-3501
Mailing Address
LISA J SAMSON-FANG MD
PO BOX 581100
SALT LAKE CITY, UT 84158-1100
Phone number: 801-213-3800
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