Individual
LISA LADLE ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5171 S COTTONWOOD ST, MURRAY, UT 84107-5704
(801) 507-4000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8496933-1206
UT
Other
Enumeration date
11/28/2018
Last updated
04/08/2026
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