Individual
LISA JO HARDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 560-0515
Mailing address
5665 S. 900 E., SALT LAKE CITY, UT 84121-1720
(801) 560-0515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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