Individual
LISA DUNN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5169 S COTTONWOOD ST STE 320, SALT LAKE CITY, UT 84107-6768
(801) 507-2531
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 507-2531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
308221-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
308221-4405
UT
Other
Enumeration date
01/10/2024
Last updated
04/13/2026
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