Individual
LISA J. HRUSHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
395 W COUGAR BLVD STE 803, PROVO, UT 84604-3311
(801) 235-7246
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12208316-1204
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
12208316-1204
UT
Other
Enumeration date
03/23/2017
Last updated
10/25/2024
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