Individual
MRS. LISA ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-4014
Mailing address
PO BOX 413036, SALT LAKE CITY, UT 84141-3036
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
5522893-4402
UT
Other
Enumeration date
06/17/2008
Last updated
10/29/2013
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