DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARIE HANSON, NP

Active Sole Proprietor

LISA MARIE HANSON, NP is a Adolescent Medicine healthcare provider located in SOUTH JORDAN, Utah. NPI 1003530429 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · SOUTH JORDAN, UT

Registration Details

NPI Number
1003530429
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2022 (3.8475043907857 yrs)
Last Updated
Sep 29, 2022
License
5984518-4405 (UT)
Sole Proprietor
Yes

Practice Information

Address
4538 W SOUTH JORDAN PKWY UNIT 110
SOUTH JORDAN, UT, 840095852
Browse UT providers · Browse ZIP 84009
Phone
8016616052
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in SOUTH JORDAN, UT

Name Credential NPI
CHRISTY TRAN MULDER APRN 1669148599
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.