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Individual

DR. LISANI PATRICIA ESTOPINAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
(801) 296-0436
Mailing address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
(801) 296-0436

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10750100-1205
UT

Other

Enumeration date
07/22/2010
Last updated
08/18/2020
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