Individual
DR. LISA MAUREEN ANGELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCSCP, CAPP
Contact information
Practice address
10221 S YUBA WAY, SOUTH JORDAN, UT 84009-5547
(801) 647-3537
Mailing address
10221 S YUBA WAY, SOUTH JORDAN, UT 84009-5547
(801) 647-3537
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7054807-1701
UT
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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