Individual
LISA MARIE STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5171 S COTTONWOOD ST STE 210, MURRAY, UT 84107-5718
(801) 507-3380
(801) 507-8343
Mailing address
5179 W NOKASIPPI LN, SOUTH JORDAN, UT 84009-6123
(720) 201-3640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8705381-4405
UT
Other
Enumeration date
06/25/2021
Last updated
08/17/2021
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