Individual
LISA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
47 N 100 E, ST GEORGE, UT 84770-3402
(435) 229-4473
(435) 236-6300
Mailing address
25 W TELEGRAPH ST UNIT 242, WASHINGTON, UT 84780-6009
(435) 229-4473
(435) 236-6300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5992251-4405
UT
Other
Enumeration date
10/02/2019
Last updated
03/22/2021
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