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Individual

LISA SHEA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
55 E 100 N, SUITE 303, LOGAN, UT 84321-4661
(435) 760-7078
Mailing address
12965 W 61ST CIR, ARVADA, CO 80004-3981
(435) 760-7078

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8689112-4405
UT
363LW0102X
Women's Health Nurse Practitioner
8689112-4405
UT

Other

Enumeration date
07/22/2013
Last updated
06/24/2019
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