Individual
MRS. LISA GILLIAM PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 S, PLEASANT GROVE, UT 84062-2602
(801) 427-4160
Mailing address
1078 HILLSIDE DR, PROVO, UT 84604-6324
(801) 427-4160
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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